快通道外科理念在老年腹股沟疝手术中的应用  

Application of fast track surgery concept on elderly inguinal hernia surgery

作　　者：李勋[1] 李永炬 陈雅文[1] 

机构地区：[1]广州市荔湾区第二人民医院外科,广东广州510160

出　　处：《中国民康医学》2012年第6期659-660,664,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较快通道外科治疗方案与传统治疗方法治疗老年腹股沟疝的效果。方法:将48例老年腹股沟疝分成快通道外科组(FTS组)和传统组(对照组)各24例,分别采用快通道外科(FTS)和传统治疗的治疗方案。比较两组患者术后下床活动时间、进食时间、肛门排气时间、首次肛门排便时间、医疗费用、并发症、住院时间。结果:住院费用FTS组为(4576.73±85.94)元,对照组为(6469.09±323.96)元;术后住院时间FTS组为(3.37±0.49)天,对照组为(7.08±0.40)天;首次肛门排气时间FTS组为(10.29±1.96)小时,对照组为(19.95±1.85)小时;首次肛门排便时间FTS组患者为(23.29±2.54)小时,对照组为(49.37±6.08)小时;并发症尿潴留FTS组为0,对照组为6例,差异均有统计学意义(P<0.01)。两组患者术后进食时间、下床活动时间差异均有统计学意义(P<0.01)。结论:应用FTS理念治疗老年腹股沟疝患者,术后并发症少,恢复快,术后住院时间缩短,住院费用减少。Objective：To compare the effect of fast track surgery and the traditional method in the treatment of elderly inguinal hernia.Methods：48 Elderly patients wit inguinal hernia were divided into FTS group（24 cases） and traditional group（24 cases）,fast track surgery and traditional treatment were used respectively.Compared the length of active time out of bed,meal time,time of anal exhaust,time of initial defecation,medical expenditure,complications and period of hospitalisation.Results：Medical expenditure of FTS group was（4576.73±85.94）yuan,while that of traditional group was（6469.09±323.96）yuan.Period of hospitalization of FTS group was（3.37±0.49）d,while that of traditional group was（7.08±0.40）d.Time of initial anal exhaust of FTS group was（10.29±1.96）h,while that of traditional group was（19.95±1.85）h.Time of initial defecation of FTS group was（23.29±2.54）h,while that of traditional group was（49.37±6.08）h.There was no case of urinary retention in FTS group,while there were 6 cases in the traditional group,there was statistical difference（P0.01）.There was statistical difference in the meal time after surgery and active time out of bed between two groups（P0.01）.Conclusion：With the application of fast track surgery concept on elderly inguinal hernia surgery,there are fewer cases of complications,faster recovery,shorter period of post-surgical hospitalisation and lower medical expenditure.

关 键 词：快通道外科 老年 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]