加速康复外科理念在急性上消化道穿孔手术中的应用  

Application of the concept of(fast track)surgery in acute upper gastrointestinal perforation surgery

作　　者：贾海军 侯向华 JIA Haijun;HOU Xianghua(Xinzhou People′s Hospital,Xinzhou 034000,China)

机构地区：[1]忻州市人民医院,山西忻州034000

出　　处：《临床医药实践》2020年第4期275-277,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨加速康复外科(FTS)理念在腹腔镜上消化道穿孔修补术中的可行性和安全性。方法:选取2017年1月—2018年12月急性上消化道穿孔患者60例,随机分为FTS组与传统组。比较两组患者术后肛门排气时间、进食时间、下床活动时间、住院时间、住院费用和术后并发症的发生率。结果:FTS组患者术后排气时间、进食时间、下床活动时间、住院时间均明显短于传统组,住院费用明显低于传统组(P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:FTS应用于腹腔镜上消化道穿孔修补术安全有效。Objective:To explore the feasibility and safety(FTS)of the concept of(fast track)surgery in laparoscopic upper gastrointestinal perforation repair.Methods:All 60 patients with upper gastrointestinal perforation in our hospital were randomly divided into FTS group and traditional laparoscopic surgery group.Compare the two patients in the group had postoperative anal discharge time,feeding time,time to get out of bed,hospitalization time,hospitalization cost and postoperative complications.Results:Patients in the FTS group had significantly shorter postoperative exhaust time,feeding time,time to get out of bed and time to stay in hospital than in the control group,the hospitalization expenses were significantly lower than those in the control group(P<0.05),and there was no significant difference in postoperative complications between the two groups(P>0.05).Conclusion:FTS is safe and effective in laparoscopic upper gastrointestinal perforation repair.

关 键 词：加速康复外科 急性上消化道穿孔 腹腔镜手术 

分 类 号：R656.1[医药卫生—急诊医学]