快速康复外科技术对腹腔镜胆囊切除术患者应激指标的影响  

Effects of rapid rehabilitation surgical technique on stress indicators in the patients undergoing laparoscopic cholecystectomy

作　　者：芦霞[1] 贾海明[2] 米泰宇[2] 张文权[2] 李立新[2] 

机构地区：[1]兰州市第二人民医院功能科,甘肃兰州730046 [2]兰州市第二人民医院普外科,甘肃兰州730046

出　　处：《中国现代医生》2016年第29期101-104,共4页China Modern Doctor

基　　金：甘肃省自然科学基金(145RJZA057);兰州市创新创业人才项目工程(2015-RC-17)

摘　　要：目的观察快速康复外科技术对腹腔镜胆囊切除术患者应激指标的影响。方法将纳入研究范围的患者随机分为快康治疗组(FTS组,n=200)和传统治疗组(n=200)。FTS组围手术期采用快速康复外科技术处理,传统治疗组围手术期采用传统治疗理念处理。比较两组患者入院时、术前1 h、术后24 h及术后48 h的应激指标C-反应蛋白(CRP)、白细胞(WBC)、白细胞介素6(IL-6)的水平。结果 FTS组和传统治疗组比较:入院时、术前1 h,应激指标CRP、WBC、IL-6的水平无明显差异。术后24 h及术后48 h,FTS组应激指标CRP、WBC、IL-6的水平低于传统治疗组。结论快速康复外科技术有助于降低患者的应激反应,缩短住院时间,促进患者康复。Objective To observe the effects of rapid rehabilitation surgical technique on stress indicators in patients undergoing laparoscopic cholecystectomy. Methods Patients included in the study were randomized to the fast-rehabil- itation group （FTS group, n=200） and the conventional treatment group （n=200）. The FTS group was treated by rapid re- habilitation surgical technique during perioperative period. The conventional treatment group was treated with tradition- al treatment concept during perioperative period. The levels of stress indicators including CRP, WBC and IL-6 were compared between the two groups upon admission, 1 h before operation, 24 h after operation and 48 h after operation. Results The conventional treatment group and the FTS group were compared. There were no significant differences in CRP, WBC and IL-6 levels upon admission and lh before operation. The levels of CRP, WBC and IL-6 in the FTS group were lower than those in the conventional treatment group at 24 h and 48 h after the operation postoperatively. Conclusion Rapid rehabilitation surgical technique is helpful in reducing the stress response, shorten the length of stay and promote the rehabilitation of the patients.

关 键 词：快速康复外科 腹腔镜胆囊切除术 应激指标 影响 

分 类 号：R657.4[医药卫生—外科学]