3种镇痛药结合快速康复外科理念在腹腔镜胆囊术中的应用  

Application of Three Kinds of Analgesics Combined with Fast Track Surgery in Laparoscopic Gallbladder Surgery

作　　者：丁丽[1] 曾钢[1] 邓英[1] 贾桂花[1] 史国琴 陆艳丽[1] 

机构地区：[1]兰州市第二人民医院,兰州730046

出　　处：《中国药房》2015年第8期1115-1117,共3页China Pharmacy

摘　　要：目的:评价镇痛药结合快速康复外科(FTS)理念在腹腔镜胆囊手术临床应用中的有效性、安全性及优越性。方法:选择100例择期行腹腔镜胆囊切除的患者,分为FTS组(n=50)与对照组(n=50)。FTS组患者用镇痛药结合FTS理念的方法进行腹腔镜胆囊切除,对照组患者用传统方法进行腹腔镜胆囊切除。比较两组患者术后发生疼痛的等级、术中补液量、住院时间、住院总费用以及药品费用等指标。结果:与对照组比较,FTS组术后8 h内发生疼痛的等级明显降低(P<0.05),术中补液量、住院时间、住院总费用以及药品费用明显减少(P<0.05),无明显不良反应。结论:镇痛药结合FTS理念应用于腹腔镜胆囊切除术有效、可行,可减少患者术后的疼痛、加速患者的康复、缩短住院时间、降低住院费用。OBJECTIVE：To evaluate the efficacy,safety and superiority of the combination of analgesic drugs and fast track surgery（FTS）of laparoscopic gallbladder surgery in clinical applications. METHODS：100 cases of laparoscopic cholecystectomy were randomly divided into FTS group（n=50）and control group（n=50）. FTS group of patients with the combination method of rational use of analgesic drugs and FTS were performed laparoscopically cholecystectomy,while the control group was given laparoscopic cholecystectomy with traditional methods. The level of postoperative pain,intraoperative fluid volume,length of stay,hospital costs and drug charges were compared between the two groups. RESULTS：Compared with control group,postoperative pain level in FTS was significantly lower within 8 hours（P〈0.05）,intraoperative fluid volume,length of stay,hospital costs and drug charges were significantly decreased（P〈0.05）with no significant adverse reactions. CONCLUSIONS：The rational use of analgesic drugs combined with FTS concept in laparoscopic cholecystectomy is effective and feasible,which can reduce postoperative pain and accelerate the rehabilitation of patients,shorten length of stay and lower hospital costs.

关 键 词：加巴喷丁 酮咯酸氨丁三醇 双氯芬酸钠 镇痛 快速康复外科理念 腹腔镜胆囊切除术 

分 类 号：R971.1[医药卫生—药品] R969.4[医药卫生—药学]