加速康复外科在肺包虫病患者围手术期的应用  

Application of enhanced recovery in patients with pulmonary hydatid disease during perioperative period

作　　者：赵汉卿 詹发亮 张聪 唐兴[1] Zhao Hanqing;Zhan Faliang;Zhang Cong;Tang Xing(Department of Thoracic Surgery,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Cardiothoracic Surgery,Xinjiang Ili Friendship Hospital,Ili&Jiangsu Joint Institute of Health,Yili 835099,China)

机构地区：[1]苏州大学附属第一医院胸外科,苏州215006 [2]伊犁哈萨克自治州友谊医院胸心外科伊犁州临床医学研究院,伊犁835099

出　　处：《中华实验外科杂志》2023年第8期1516-1518,共3页Chinese Journal of Experimental Surgery

基　　金：新疆维吾尔自治区自然科学基金面上项目(2021D01A187);伊犁哈萨克自治州科技计划项目(YZ2021B001);伊犁州临床医学研究院科研课题(yl2020lh06)。

摘　　要：目的探讨加速康复外科(ERAS)治疗模式在肺包虫病患者围手术期的应用价值。方法分析2015年1月至2022年12月新疆伊犁哈萨克自治州友谊医院胸心外科手术的90例肺包虫病患者临床手术资料,采用随机数表将其分为实验组和对照组,其中加速康复外科治疗模式实验组(ERAS组)45例,传统治疗模式对照组(传统模式组)45例,比较两组围手术期相关指标。定量资料组间比较采用独立样本t检验,定性资料组间比较采用χ2检验。结果ERAS组患者术中输液量[(1268.24±335.65)ml]低于传统模式组[(1750.25±450.36)ml],差异有统计学意义(t=4.648,P<0.05);术后相关资料比较,ERAS组术后3 d的视觉模拟疼痛评分均值(2.55±0.36)低于传统组(5.19±2.37),差异有统计学意义(t=5.266,P<0.05);ERAS组术后胃肠功能恢复时间[(2.16±1.37)d]低于传统模式组[(3.56±1.55)d],差异有统计学意义(t=2.894,P<0.05);ERAS组术后胸管留置时间[(2.66±1.04)d]低于传统模式组[(6.65±2.19)d],差异有统计学意义(t=5.996,P<0.05);ERAS组术后住院时间[(4.33±1.28)d]低于传统模式组[(7.65±2.16)d],差异有统计学意义(t=5.876,P<0.05)。ERAS组术后并发症发生率[8.89%(4/45)],显著低于传统模式组[40%(18/45)],差异有统计学意义(χ2=11.791,P<0.05)。结论在肺包虫患者围手术期采用ERAS模式,有助于减少术后并发症,加速术后康复。Objective To explore the application of enhanced recovery after surgery(ERAS)treatment mode in patients with pulmonary hydatid disease during the perioperative period.Methods Retrospective analysis was performed on the clinical surgical data of 90 patients with pneumohydatid who underwent thoracic surgery in Friendship Hospital of Yili Kazak Autonomous Prefecture,Xinjiang Province from January 2015 to December 2022.The patients were divided into experimental group and control group by a random number table,including 45 patients in ERAS group.A total of 45 patients served as the traditional treatment mode control group(traditional mode group).The perioperative indexes were compared between the two groups.Independent-samples t test was used for quantitative inter-group comparison,and chi-square test was used for qualitative inter-group comparison.Results The intraoperative infusion volume of patients in the ERAS group[(1268.24±335.65)ml]was less than that in the traditional mode group[(1750.25±450.36)ml],and the difference was statistically significant(t=4.648,P<0.05).After the operation,the average visual simulated pain score in the ERAS group(2.55±0.36)was lower than that in the traditional group(5.19±2.37),and the difference was statistically significant(t=5.266,P<0.05).The recovery time of gastrointestinal function in the ERAS group[(2.16±1.37)d]was shorter than that in the traditional model group[(3.56±1.55)d],and the difference was statistically significant(t=2.894,P<0.05).The postoperative indwelling time of chest tube in the ERAS group[(2.66±1.04)d]was shorter than that in the traditional mode group[(6.65±2.19)d],and the difference was statistically significant(t=5.996,P<0.05).The postoperative hospitalization time in the ERAS group[(4.33±1.28)d]was shorter than that in the traditional mode group[(7.65±2.16)d],and the difference was statistically significant(t=5.876,P<0.05).The incidence of postoperative complications in the ERAS group[8.89%(4/45)]was significantly lower than that in the tradition

关 键 词：加速康复外科 肺包虫病 围手术期 

分 类 号：R655.3[医药卫生—外科学]