CAJ | 학술논문

目的：探讨老年人腹腔镜胆囊切除术（LC）应用加速康复外科（FTS）措施的安全性和优越性。方法收集嘉峪关市第二人民医院普外科2010年1月－2014年3月进行LC的124例老年人的临床资料。其中62例为FTS组，62例为传统方法组，对比研究两组术后患者肛门通气时间、进食和下床活动、住院时间等恢复情况，并对手术结果、不良反应等给予记录。计量资料组间比较采用独立样本的t检验，计数资料采用χ2检验。结果 FTS 组术后患者较传统方法组患者术后肛门排气时间短[（8.5±1.5）h vs （16.3±2．4）h]、术后进食时间短[（5.5±1.5）h vs （19.5±2.5）h]、术后下床活动时间早[（7.5±1.5）h vs （12.8±3.5）h]、住院天数少[（5.88±1.56）d vs （8.96±1.24）d]、术后心脑并发症发生率低（4.83％ vs 16.13％），差异均有统计学意义（P值均＜0．05）。结论 LC应用FTS措施对老年患者术后早期恢复更加积极有效。
목적：탐토노년인복강경담낭절제술（LC）응용가속강복외과（FTS）조시적안전성화우월성。방법수집가욕관시제이인민의원보외과2010년1월－2014년3월진행LC적124례노년인적림상자료。기중62례위FTS조，62례위전통방법조，대비연구량조술후환자항문통기시간、진식화하상활동、주원시간등회복정황，병대수술결과、불량반응등급여기록。계량자료조간비교채용독립양본적t검험，계수자료채용χ2검험。결과 FTS 조술후환자교전통방법조환자술후항문배기시간단[（8.5±1.5）h vs （16.3±2．4）h]、술후진식시간단[（5.5±1.5）h vs （19.5±2.5）h]、술후하상활동시간조[（7.5±1.5）h vs （12.8±3.5）h]、주원천수소[（5.88±1.56）d vs （8.96±1.24）d]、술후심뇌병발증발생솔저（4.83％ vs 16.13％），차이균유통계학의의（P치균＜0．05）。결론 LC응용FTS조시대노년환자술후조기회복경가적겁유효。
Objective To investigate the safety and superiority of fast track surgery (FTS)in elderly patients during the perioperative peri-od of laparoscopic cholecystectomy (LC).Methods The clinical data of 124 elderly patients who underwent LC at the Department of Gen-eral Surgery in our institution between January 2010 and March 2014 were assessed,with 62 cases assigned to FTS group and 62 cases to conventional method group.Anal exhaust time,feeding time,off-bed activity time,and length of hospital stay were compared between the two groups,and postoperative results and adverse reactions were recorded.Continuous data were analyzed using the independent-samples t test,and categorical data were compared using the chi-square test.Results Compared with the control method group,patients in the FTS group showed earlier postoperative anal exhaust,feeding,and off-bed activity,a shorter length of hospital stay,and a lower incidence of postoperative cardiovascular and cerebrovascular complications (P<0.05).Conclusion FTS is an effective approach to accelerate rehabil-itation in elderly patients after LC.