快速康复外科在38例十二指肠球部溃疡穿孔患者中的应用分析  

Application of fast track surgery in 38 cases with perforation of duodenal ulcer

作　　者：高林[1] 黄建明[1] 钱雷敏[1] 

机构地区：[1]东南大学医学院附属医院江阴市人民医院胃肠外科,江苏江阴214400

出　　处：《实用临床医药杂志》2012年第19期68-70,共3页Journal of Clinical Medicine in Practice

摘　　要：目的采用一系列有循证医学依据的围术期处理的优化措施,以减少十二指肠球部溃疡穿孔患者的生理及心理的创伤应激,达到患者快速康复的目的。方法选择2008年1月—2011年12月72例十二指肠球部溃疡穿孔患者,随机分为快速康复外科组(FTS组)和对照组,其中38例FTS组采用快速康复外科处理措施。结果快速康复外科组患者术后下床活动时间、进食时间、首次肛门恢复排气排便时间、住院时间均短于对照组,痛苦程度和治疗费用均明显低于对照组,2组术后并发症发生率差异无统计学意义。结论十二指肠球部溃疡穿孔患者采用快速康复外科处理措施,与常规处理比较,有着较为明显的优势。Objective To reduce physiological and psychological trauma stress of patients with perforation of duodenal ulcer, and to achieve the goal of fast recovery by using a series of opti- mized measures based on evidence-based medicine during the perioperative management. Methods Seventy-six patients with perforation of duodenal ulcer were selected from January 2008 to December 2011, and randomly divided into fast track surgery group （FTS group, n = 38）and control group （n = 38）. Results After operation, the time of off-bed activity, food intake, first anal flatulence and defecation and hospital stay in the fast track surgery group were significantly shorter than those in the control group. Treatment cost was also less in FTS group, while the postoperative complica- tions of the two groups showed no significant difference. Conclusion Compared with the conven- tional surgery treatment, fast track surgery occupies a dominant position in curing the patients with perforation of duodenal ulcer.

关 键 词：快速康复外科 十二指肠球部溃疡穿孔 

分 类 号：R656.6[医药卫生—外科学]