快速康复外科理念在胆肠吻合术中的临床应用效果分析  

Analysis of clinical applied effect on the concept of fast track surgery in bilioenteric anastomosis

作　　者：王建国[1] 高静涛[1] 李庆怀[1] 秦建伟[1] 王惠民[1] 邵晓莉[1] 

机构地区：[1]解放军第一医院肝胆外科中心,甘肃兰州730030

出　　处：《肝胆胰外科杂志》2012年第2期103-105,109,共4页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的探讨快速康复外科(FTS)理念在胆肠吻合术中应用的临床效果。方法选择72例经评估可耐受并必须实施胆肠吻合术的患者,随机实施分组,即FTS组(n=36)和对照组(n=36),比较两组麻醉苏醒时间、术后离床活动时间、通气时间、住院天数及住院费用、术后并发症的差别。结果快速康复外科组术后麻醉苏醒时间、术后离床活动时间、通气时间、住院天数及住院费用显著降低(P<0.01),两组麻醉苏醒时间比较差异无统计学意义(P>0.05)。结论快速康复外科理念对胆肠吻合手术有较好的临床应用价值,可明显加快患者的康复速度,缩短住院日程,节省同类手术的住院费用。Objective To probe the clinical effect of the concept of fast track surgery in cholangioenteric anastomosis.Methods Seventy-two cases assessed can be tolerated and must be performed bilioenteric anastomosis were randomly divided into fast track surgery group（n=36） and control group（n=36）.Awakening time after anesthesia,time of post-operative activities,ventilation time,hospitalization days,post-operative complications and hospitalization costs were compared.Results Awakening time after anesthesia,time of post-operative activities,time of ventilation,hospitalization days and hospitalization costs in two groups were significantly reduced（P0.01）.There was no statistically significant difference（P 0.05） when two groups of awakening time after anesthesia were compared.Conclusion Concept of fast track surgery on bilioenteric anastomosis surgery has better clinical applications.It can obviously accelerate the patiens’recovery speed,shorten hospital schedule and save the hospital expenses in the similar surgery.

关 键 词：快速康复外科 胆肠吻合 临床应用 

分 类 号：R657.4[医药卫生—外科学]