快速康复外科对下肢交通支静脉功能不全患者腔镜下交通支离断术的应用效果  

Application effect of enhanced recovery after surgery in subfascial endoscopic perforator surgery for lower extremity perforating venous insufficiency patients

作　　者：秦兴昌 李治国[1] 牛增志 QIN Xingchang;LI Zhiguo;NIU Zengzhi(Department qf General Surger,Anyang People'Hospital,Anyang 455000,China)

机构地区：[1]安阳市人民医院普通外科,455000

出　　处：《心肺血管病杂志》2021年第7期703-706,共4页Journal of Cardiovascular and Pulmonary Diseases

摘　　要：目的:探讨快速康复外科(ERAS)对下肢交通支静脉功能不全(LEPVI)患者腔镜下交通支离断术(SEPS)的应用效果。方法:选取2019年1月至2020年9月,LEPVI患者128例,随机分为观察组66例与对照组62例。两组均实施SEPS手术,对照组实施常规围术期干预,观察组在快速康复外科理念指导下实施围术期干预。比较两组患者的治疗效果、手术并发症、静脉疾病严重程度评分、康复时间指标。结果:观察组痊愈率为86.4%,有效率为13.6%;对照组痊愈率为71.0%,有效率为29.0%;两组治疗效果比较,差异有统计学意义(P<0.05)。观察组的手术并发症发生率为16.7%低于对照组的32.3%(P<0.05)。观察组的疼痛、静脉曲张、静脉性水肿、溃疡数量、持续时间、溃疡直径及压迫性治疗7项评分均低于对照组(P<0.05)。观察组术后下床活动时间及术后住院时间、溃疡愈合时间均短于对照组(P<0.05)。结论:在SEPS术围术期实施快速康复外科干预,有利于提高手术效果,降低手术并发症,增加临床获益,值得推广。Objective:To explore the application effect of enhanced recovery after surgery(ERAS)in subfascial endoscopic perforator surgery(SEPS)for patients with lower extremity perforating venous insufficiency(LEPVI).Methods:A total of 128 LEPVI patients from January 2019 to September 2020 were enrolled and randomly divided into study group(66 cases)and control group(62 cases).Both groups underwent SEPS.On this basis,control group underwent routine perioperative intervention,while study group underwent perioperative intervention under the guidance of ERAS concept.The curative effect,surgical complications,scores of venous diseases severity and recovery time indexes were compared between the two groups.Results:The cure rate and response rate in study group and control group were(86.4%,13.6%)and(71.0%,29.0%),respectively.There were significant differences in curative effect between the two groups(P<0.05).The incidence of surgical complications in study group was lower than that in control group(16.7%vs.32.3%)(P<0.05).The scores about pain,varicose veins,venous edema,number of ulcers,duration,ulcer diameter and compression therapy in study group were lower than those in control group(P<0.05),postoperative leaving bed time,hospitalization time and ulcer healing time were shorter than those in control group(P<0.05).Conclusions:The implementation of ERAS intervention during the perioperative period of SEPS is beneficial to improve surgical effect,reduce surgical complications,and increase clinical benefits.

关 键 词：下肢交通支静脉功能不全 腔镜下交通支离断术 快速康复外科 手术并发症 

分 类 号：R54[医药卫生—心血管疾病]