加速康复外科在婴幼儿胆管囊状扩张症I型围手术期的应用  

Application of Fast Track Surgery in Infants with Congenital Cystic Dilatation of Common Bile Duct

作　　者：刘怡素[1] 

机构地区：[1]湖南省人民医院暨湖南师范大学第一附属医院,湖南长沙410005

出　　处：《医学临床研究》2011年第6期1117-1119,共3页Journal of Clinical Research

摘　　要：【目的】比较加速康复外科治疗和常规治疗在婴幼儿胆管囊状扩张症I型围手术期的实施效果。【方法】对比研究38例婴幼儿胆管囊状扩张症I型患儿行Rouxen-Y术后恢复情况，分为加速康复外科治疗组19例和常规治疗组19例。分析研究两组病人是否放置引流管及放置时间、麻醉时间、进食时间、肠鸣音出现时间、肠鸣音恢复正常时间、排便时间、住院时间、住院费用、并发症发生率及患儿血清TNF—α和IL一6的浓度。【结果】两组病人均痊愈出院，加速康复外科治疗组与常规治疗组相比，可更好的促进患者胃肠功能的恢复、缩短住院时间、降低住院费用、不增加不良反应及并发症发生。【结论】加速康复外科是一种对婴幼儿胆管囊状扩张症I型手术恢复比较安全、经济、有效的临床方法。[Objective]To compare the effect of fast track surgery vs. conventional treatment in infant duct cystic dilatation of common bile duct. [Methods] The recovery of 38 infants with cystic dilatation of common bile duct undergoing Rouxen-Y was compared. All patients were divided into fast track surgery group（ n=19） and conventional treatment group（ n=19）. The drainage tube placement time, anesthesia time, meal time, the onset and end time of bowel sound, defecation time, hospital day, hospital fee, complications and serum TNF-α and IL-6 levels were analyzed. [Results]All patients in two group were cured and discharged from the hospital. Compared with the conventional treatment, fast track surgery better promoted the recovery of gastrointestinal function, and shortened the hospital day, and reduced the hospital fee, and did not increased the incidence of adverse reaction and complications. [Conclusion] Fast track surgery is a safe, economical and effective clinical method for the treatment of infant duct cystic dilatation of common bile duct.

关 键 词：Caroli病/外科学 

分 类 号：R575.7[医药卫生—消化系统]