CAJ | 학술논문

目的：探讨快速康复外科在腹腔镜无张力疝修补术患者中的临床应用效果。方法：对80例腹股沟疝患者随机分为实验组和对照组各40例，实验组患者应用快速康复外科理念行腹腔镜下无张力疝修补术和围手术期护理，对照组患者采用传统的开腹手术和术后常规护理。对两组患者术后进食时间、下床活动时间、肛门排气时间和并发症情况进行对比。结果：实验组患者术后进食时间、下床活动时间、肛门排气时间均早于对照组，比较差异有统计学意义(P<0.05)；并发症发生例数少于对照组，但差异无统计学意义(P>0.05)。结论：应用快速康复外科理念行腹腔镜下无张力疝修补术的患者，术后进食时间和下床活动时间早，肠蠕动恢复快，肛门排气时间早，能缩短住院日，减少医疗费用，而术后患者并发症并没有明显增加，值得临床推广应用。
목적：탐토쾌속강복외과재복강경무장력산수보술환자중적림상응용효과。방법：대80례복고구산환자수궤분위실험조화대조조각40례，실험조환자응용쾌속강복외과이념행복강경하무장력산수보술화위수술기호리，대조조환자채용전통적개복수술화술후상규호리。대량조환자술후진식시간、하상활동시간、항문배기시간화병발증정황진행대비。결과：실험조환자술후진식시간、하상활동시간、항문배기시간균조우대조조，비교차이유통계학의의(P<0.05)；병발증발생례수소우대조조，단차이무통계학의의(P>0.05)。결론：응용쾌속강복외과이념행복강경하무장력산수보술적환자，술후진식시간화하상활동시간조，장연동회복쾌，항문배기시간조，능축단주원일，감소의료비용，이술후환자병발증병몰유명현증가，치득림상추엄응용。
Objective:To investigate clinical application effects of fast track surgery ( FTS) for patients with laparoscopic ten-sion-free hernia repair surgery. Methods:80 cases with inguinal hernia were randomly divided into experimental group (n=40) and control group (n=40). In experimental group, the concept of FTS was applied in the laparoscopic tension-free hernia repair surgery and perioperative care was also used, while in control group, traditional open surgery and conventional postoperative nursing were con-ducted. Results:The postoperative feeding time, ambulation time, anal exhaust time of experimental group were shorter than those of control group, and the differences were statistically significant (P<0. 05). Moreover, the postoperative complications of experimental group were less than those of control group, and the differences were statistically insignificant (P>0. 05). Conclusions:The concept of FTS applied in laparoscopic tension-free hernia repair surgery could make postoperative feeding time and ambulation time earlier, re-covery of bowel movement faster, and anal exhaust time earlier, which shorten the length of stay and reduce medical costs. Further, postoperative complications had no significant increase as well. Therefore, it is worth being used in the clinical fields.