中西医结合快速康复外科理念在肛瘘围手术期的临床应用  

Clinical Application of Enhanced Recovery after Surgery Concept of Integrated Traditional Chinese Medicine and Western Medicine in Perioperative Period of Anal Fistula

作　　者：李丽梅[1] 王永强[1] LI Li-mei;WANG Yong-qiang(Kunshan Hospital Affiliated to Jiangsu University,Kunshan,Jiangsu 215300)

机构地区：[1]江苏大学附属昆山医院

出　　处：《中国肛肠病杂志》2019年第9期57-59,共3页Chinese Journal of Coloproctology

摘　　要：为探讨中西医结合快速康复外科理念在肛瘘围手术期的临床应用效果,将本院202例肛瘘手术患者随机分为观察组与对照组。观察组102例应用中西医结合快速康复外科理念治疗与护理;对照组100例采用传统康复理念治疗与护理,比较2组围手术期空腹血糖、焦虑自评量表(SAS)及抑郁自评量表(SDS)评分,麻醉不良反应发生率,切口疼痛评分,首次排便时间,愈合时间,住院时间和患者满意度。结果显示,观察组术前SAS及SDS评分、空腹血糖值、麻醉不良反应发生率、切口疼痛评分、首次排便时间、愈合时间及住院时间均明显低于对照组,患者满意度高于对照组,差异均有统计学意义(P <0.05)。结果表明,在肛瘘围手术期应用中西医结合快速康复外科理念治疗与护理,有利于缓解患者焦虑情绪,减少手术应激,缩短住院时间,促进切口愈合,提高满意度,值得临床推广应用。In order to investigate the clinical application effect of enhanced recovery after surgery concept of integrated traditional Chinese medicine and western medicine in perioperative period of anal fistula,202 patients with anal fistula in author’s hospital were randomly divided into observation group(n =102,treated with enhanced recovery after surgery concept of integrated traditional Chinese medicine and western medicine)and control group(n =100,treated with routine rehabilitation one).Fasting blood glucose,SAS and SDS,incidence of adverse anaesthesia reactions,incision pain score,first defecation time,healing time,hospitalization time and patient satisfaction degree in perioperative period were compared between the two groups.As results,the preoperative SAS and SDS scores,fasting blood glucose,incidence of adverse anaesthesia reactions,incision pain score,first defecation time,healing time and hospitalization time in observation group were significantly lower than those in control group,and the patients’ satisfaction degree was significantly higher than that in control group(P <0.05).Results show that the application of enhanced recovery after surgical concept of integrated traditional Chinese medicine and western medicine in the perioperative period of anal fistula is beneficial to alleviate patients’ anxiety,reduce surgical stress,shorten hospitalization time,promote incision healing and improve satisfaction,which is worthy of clinical popularization and application.

关 键 词：肛瘘 围手术期 快速康复外科 疗效 

分 类 号：R47[医药卫生—护理学]