快速康复外科在胆道结石患者ERCP术后饮食管理中的应用  

Application of FTS in postoperative dietary management of patients received ERCP to remove biliary ductal stones

作　　者：朱俊军[1] 周东勋[1] 纪义梅[1] 于凤海[1] 

机构地区：[1]第二军医大学附属东方肝胆外科医院肝胆内二科,上海200438

出　　处：《肝胆外科杂志》2013年第3期180-183,共4页Journal of Hepatobiliary Surgery

摘　　要：目的探讨快速康复外科理念用于胆管结石患者ERCP术后饮食管理的效果。方法选择60例拟行ERCP取石的胆管结石患者,随机分为观察组与对照组各30例,两组患者术后当天均常规禁食。观察组患者术后次日如腹痛的症状及体征均不明显,且血淀粉酶正常或基本正常,则开始进食。对照组患者术后次日如腹痛的症状及体征均不明显,且血淀粉酶完全正常,则开始进食,否则延长观察期,继续禁食,直至结果正常后再逐步过渡到流质饮食及普食。比较两组患者术后口渴、饥饿感、输液量、住院时间的差异。结果观察组患者术后口渴、饥饿感发生率低于对照组;术后输液量、住院时间少于对照组。差异均有统计学意义(P<0.05)。均未发生出血、穿孔、胰腺炎的并发症。结论在胆管结石患者ERCP术后应用快速康复外科理念是安全、有效的,缩短了术后禁食时间,加快了病人康复速度,缩短了住院时间。Objective Analysis the effect of FTS in postoperative dietary management of patients received ERCP to remove biliary ductal stones. Methods There were 60 patients randomly allocated to the intervention group （ 30 cases） and control group （30 cases）. All cases were fasting in operational day. Intervention group would got to refeed, if they had not significant abdominal pain and their serum amylases were in normal level absolutely or approximately, otherwise they would continue to fasting to prolong the observational periods. In the control group, patients would got to refeed, only when their serum amylases were in normal level absolutely. These items were analyzed： rates of thirsty and hunger, volume of infusion, length of hospital day. Results Postoperatively, rates of thirsty and hunger of intervention group were lower significantly compared with control group, and it was the same to volume of infusion and length of hospital day. Conclusions It was safe and effective to apply FTS in postoperative dietary management of patients received ERCP to remove biliary ductal stones.

关 键 词：快速康复外科(FTS) 胆道结石 逆行性胆胰管造影(ERCP) 饮食管理 

分 类 号：R657.4[医药卫生—外科学]