中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
22-24
,共3页
快速康复%麻醉%外伤性肝脾破裂%围手术期%液体管理
快速康複%痳醉%外傷性肝脾破裂%圍手術期%液體管理
쾌속강복%마취%외상성간비파렬%위수술기%액체관리
Rapid rehabilitation%Anesthetic%Traumatic rupture of spleen%Peri operation period%Fluid management
目的：总结快速康复的理念在外伤性肝脾破裂患者围手术期液体管理中的应用效果。方法：选取2010年1月-2014年10月新疆农一师阿拉尔人民医院普外科收治的外伤性肝脾破裂手术患者共100例，在患者知情同意的前提下，根据随机数字表的方法分为两组，对照组50例患者给予常规围手术期麻醉管理，观察组50例将快速康复理念应用于围手术期液体管理中，对比两组患者的麻醉相关指标及胃肠道功能恢复时间、平均住院天数、住院费用及术后并发症发生率。结果：观察组患者的苏醒时间、拔管时间均显著低于对照组患者，比较差异有统计学意义（P<0.05）；术后1 d与术后5 d，观察组CRP水平均显著低于对照组，比较差异有统计学意义（P<0.05）。观察组患者的胃肠道功能恢复时间、平均住院天数、住院费用均低于对照组患者，比较差异有统计学意义（P<0.05）；观察组患者有2例出现并发症，显著低于对照组，比较差异有统计学意义（字2=4.382，P<0.05）。结论：快速康复的理念应用于外伤性肝脾破裂患者围手术期麻醉管理中，临床效果满意，能够加速患者康复的进程。
目的：總結快速康複的理唸在外傷性肝脾破裂患者圍手術期液體管理中的應用效果。方法：選取2010年1月-2014年10月新疆農一師阿拉爾人民醫院普外科收治的外傷性肝脾破裂手術患者共100例，在患者知情同意的前提下，根據隨機數字錶的方法分為兩組，對照組50例患者給予常規圍手術期痳醉管理，觀察組50例將快速康複理唸應用于圍手術期液體管理中，對比兩組患者的痳醉相關指標及胃腸道功能恢複時間、平均住院天數、住院費用及術後併髮癥髮生率。結果：觀察組患者的囌醒時間、拔管時間均顯著低于對照組患者，比較差異有統計學意義（P<0.05）；術後1 d與術後5 d，觀察組CRP水平均顯著低于對照組，比較差異有統計學意義（P<0.05）。觀察組患者的胃腸道功能恢複時間、平均住院天數、住院費用均低于對照組患者，比較差異有統計學意義（P<0.05）；觀察組患者有2例齣現併髮癥，顯著低于對照組，比較差異有統計學意義（字2=4.382，P<0.05）。結論：快速康複的理唸應用于外傷性肝脾破裂患者圍手術期痳醉管理中，臨床效果滿意，能夠加速患者康複的進程。
목적：총결쾌속강복적이념재외상성간비파렬환자위수술기액체관리중적응용효과。방법：선취2010년1월-2014년10월신강농일사아랍이인민의원보외과수치적외상성간비파렬수술환자공100례，재환자지정동의적전제하，근거수궤수자표적방법분위량조，대조조50례환자급여상규위수술기마취관리，관찰조50례장쾌속강복이념응용우위수술기액체관리중，대비량조환자적마취상관지표급위장도공능회복시간、평균주원천수、주원비용급술후병발증발생솔。결과：관찰조환자적소성시간、발관시간균현저저우대조조환자，비교차이유통계학의의（P<0.05）；술후1 d여술후5 d，관찰조CRP수평균현저저우대조조，비교차이유통계학의의（P<0.05）。관찰조환자적위장도공능회복시간、평균주원천수、주원비용균저우대조조환자，비교차이유통계학의의（P<0.05）；관찰조환자유2례출현병발증，현저저우대조조，비교차이유통계학의의（자2=4.382，P<0.05）。결론：쾌속강복적이념응용우외상성간비파렬환자위수술기마취관리중，림상효과만의，능구가속환자강복적진정。
Objective:To summarize the application effect of rapid rehabilitation application concept in traumatic splenic rupture patients in the anesthetic management in peri operation period.Method:From January 2010 to October 2014,in the Xinjiang Nongyishi hospital Alar people admitted the Department of general surgery,100 cases of traumatic rupture of spleen operation,according to the method of random number table were divided into two groups,the patients were informed consent, 50 patients in the control group were administered conventional peri operation period nursing,50 cases of the observation group were given the concept of rapid rehabilitation applied to fluid management of peri operation period,index of anesthesia, gastrointestinal function recovery time,mean length of hospital stay,cost of hospitalization and postoperative complication rate of patients in the two groups were compared.Result:The recovery time,pull the groups of patients with tube time of the observation group were significantly lower than the control group patients,there were significant differences (P<0.05).In comparison to CRP level,after 1 day and 5 days after operation,the observation group were significantly lower than those in the control group, there were significant differences between the (P<0.05).The gastrointestinal function recovery time,mean length of hospital stay,hospital costs of patients in the observation group were lower than the patients in the control group,there were significant differences between the two groups.2 patients in the observation group had complications, which was significantly lower than the patients of the control group,there was significant difference(χ2=4.382,P<0.05).Conclusion:The application effect of rapid rehabilitation application concept in traumatic splenic rupture patients in the anesthetic management in peri operation period issatisfactory,it can accelerate the process of rehabilitation of patients.
