快速康复理念在基层医院腹腔镜胆囊切除术中的应用  

Application of Fast Track Surgery in Laparoscopic Cholecystectomy in Primary Hospital

作　　者：王鸿波[1] 王为忠[1] 

机构地区：[1]第四军医大学西京消化病医院胃肠外科,陕西西安710000

出　　处：《医学新知》2013年第4期282-283,共2页New Medicine

摘　　要：目的探讨快速康复外科理念在基层医院实施的效果。方法收集65例拟行腹腔镜胆囊切除术的患者，随机分为观察组（n=35）和对照组（n=30）。观察组围手术期采用快速康复外科理念处理，对照组围手术期采用传统腹腔镜胆囊切除术处理。结果观察组比对照组的患者术后进食时间早，术后肛门排气时间早、术后住院日缩短、住院费用减少。两组术后并发症及患者住院满意度差异无统计学意义。结论快速康复外科理念指导下的腹腔镜胆囊切除术治疗胆囊结石和胆囊息肉疗效好，值得在基层医院广泛推广。Objective To explore the implementation effects of fast track surgery （FTS）in primary hospital. Methods 65 patients undergoing laparoscopic cholecystectomy were divided into observation group（ n = 35）and control group（ n = 30）randomly. Patients in the control group received conventional perioperative care, while those in the observation group underwent Frs measures. Results Patients in the observation group had early postoperative eating time and anal exsufflation time ,less hospitalization days and expenses compared with those in the control group. There was no significant difference in postoperative complications and satisfaction of patients between two groups. Conclusion The application of FTS in laparoscopic cholecystectomy is safe and effective, which is worth popularizing in primary hospitals.

关 键 词：快速康复外科理念 腹腔镜胆囊切除术 

分 类 号：R446.5[医药卫生—诊断学]