甲状腺外科实施加速康复外科的临床效果  

Effect of enhanced recovery after surgery on thyroid surgery

作　　者：郑蕾[1] 张世瑜[1] 严佶祺[1] ZHENG Lei;ZHANG Shiyu;YAN Jiqi(Department of Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院外科,上海200025

出　　处：《外科理论与实践》2020年第3期252-255,共4页Journal of Surgery Concepts & Practice

基　　金：上海交通大学医学院科技基金项目(JYH1610)。

摘　　要：目的:评价应用甲状腺疾病围术期加速康复外科(enhanced recovery after surgery,ERAS)的效果。方法:选取2018年3月至6月我院行甲状腺手术病人120例,分为ERAS组和传统组各60例,比较两组术后疼痛、术后并发症发生、住院时间及住院费用情况。结果:ERAS组病人疼痛评分(2.2比2.8)、住院时间(1.0 d比3.4 d)及住院费用(10204.8元比12449.2元)低于传统组(P<0.001)。两组病人术后并发症发生差异无统计学意义。结论:ERAS不仅有助于减少甲状腺术后病人疼痛,而且缩短住院时间和降低住院费用。Objective To evaluate the effects of enhanced recovery after surgery(ERAS)for thyroid surgery throughout the perioperative period.Methods A total of 120 cases with thyroid surgery in our hospital from March to June 2018 were divided into ERAS group and traditional group with 60 cases each.Pain scores after surgery,postoperative complica-tions,length of hospital stay and costs were compared between two groups.Results The pain scores(2.2 vs.2.8),length of hospital stay(1.0 d vs.3.4 d)and costs(10204.8 Yuan vs.12449.2 Yuan)in ERAS group were less than those in traditional group(P<0.001).There was no statistical difference in postoperative complications rate between two groups.Conclusions It could be found that ERAS helped to decrease length of hospital stay and reduce cost while improve postoperative pain control.

关 键 词：加速康复外科 甲状腺疾病 外科 

分 类 号：R653[医药卫生—外科学]