快速康复外科理念在腹腔镜胆囊切除术麻醉中的应用效果研究  

Study on the application effect of fast track surgery concept in anesthesia for laparoscopic cholecystectomy

作　　者：沈永华 SHEN Yong-hua(Anesthesia Department,Dongtai Traditional Chinese Medicine Hospital,Dongtai 224299,China)

机构地区：[1]东台市中医院麻醉科,224299

出　　处：《中国实用医药》2023年第18期168-170,共3页China Practical Medicine

摘　　要：目的研究腹腔镜胆囊切除术麻醉中应用快速康复外科理念的临床效果。方法66例腹腔镜胆囊切除术患者,按照随机数字表法分为对照组和研究组,各33例。对照组患者采用常规全身麻醉,研究组患者在全身麻醉基础上实施快速康复外科理念。比较两组麻醉前及手术后血清皮质醇水平,术后苏醒时间、首次排气时间。结果麻醉前,两组患者血清皮质醇水平比较,差异无统计学意义(P>0.05);手术后,研究组患者血清皮质醇水平(208.18±21.02)nmol/L低于对照组的(319.82±31.36)nmol/L,差异具有统计学意义(P<0.05)。研究组患者术后苏醒时间(4.23±1.58)min、首次排气时间(19.23±3.73)h均短于对照组的(12.03±1.77)min、(39.47±4.53)h,差异具有统计学意义(P<0.05)。结论在腹腔镜胆囊切除术麻醉中应用快速康复外科理念能够明显减轻患者的应激反应,缩短苏醒时间和排气时间,保证患者能够尽早康复。Objective To study the clinical effect of fast track surgery concept in anesthesia for laparoscopic cholecystectomy.Methods A total of 66 patients with laparoscopic cholecystectomy were divided into control group and study group according to the random numerical table,with 33 cases in each group.The control group received general anesthesia,and the study group received fast track surgery concept based on general anesthesia.The serum cortisol levels before anesthesia and after surgery,postoperative recovery time and first exhaust time were compared between the two groups.Results Before anesthesia,there was no statistically significant difference in serum cortisol level between the two groups(P>0.05).After surgery,the serum cortisol level of(208.18±21.02)nmol/L in the study group was lower than that of(319.82±31.36)nmol/L in the control group,and the difference was statistically significant(P<0.05).The postoperative recovery time of(4.23±1.58)min and the first exhaust time of(19.23±3.73)h in the study group were shorter than those of(12.03±1.77)min and(39.47±4.53)h in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of fast track surgery concept in anesthesia for laparoscopic cholecystectomy can significantly reduce the stress response of patients,shorten the recovery time and exhaust time,and ensure the early recovery of patients.

关 键 词：腹腔镜胆囊切除术 麻醉 快速康复外科理念 

分 类 号：R473.6[医药卫生—护理学]