腹部外科
腹部外科
복부외과
JOURNAL OF ABDOMINAL SURGERY
2015年
4期
247-249,257
,共4页
快速康复外科%老年%腹部大手术
快速康複外科%老年%腹部大手術
쾌속강복외과%노년%복부대수술
Fast track surgery%Elder%Major abdominal procedure
目的：探讨快速康复外科(FTS)理念在老年腹部大手术病人围手术中应用的安全性及有效性。方法将67例病人随机分为对照组和 FTS 组,对照组采用常规围手术期处理方法,FTS 组采用 FTS 理念指导下优化的围手术期处理措施,分别比较两组病人术后排气时间、开始下床活动时间、住院时间、病人总的住院费用和 C 反应蛋白(CRP)、皮质醇等应激指标及术后并发症。结果两组病人术后肠道恢复时间[(104±21)h 和(76±22)h]、下床活动时间[(119.63±20.41)h 和(75.38±16.25)h]、住院时间[(12.45±2.03)d 和(7.85±1.46)d]、住院费用[(20978.47±2976.15)元和(15231.25±1813.28)元]和第1、3天 CRP、皮质醇等应激反应指标比较差异均有统计学意义(P <0.05)。两组病人恶心呕吐和切口疼痛比较,差异均有统计学意义(P <0.05),其余单个并发症比较,差异均无统计学意义(P >0.05)。结论FTS 理念应用于老年腹部大手术围手术期处理是安全、有效的,可加速病人的康复进程。
目的：探討快速康複外科(FTS)理唸在老年腹部大手術病人圍手術中應用的安全性及有效性。方法將67例病人隨機分為對照組和 FTS 組,對照組採用常規圍手術期處理方法,FTS 組採用 FTS 理唸指導下優化的圍手術期處理措施,分彆比較兩組病人術後排氣時間、開始下床活動時間、住院時間、病人總的住院費用和 C 反應蛋白(CRP)、皮質醇等應激指標及術後併髮癥。結果兩組病人術後腸道恢複時間[(104±21)h 和(76±22)h]、下床活動時間[(119.63±20.41)h 和(75.38±16.25)h]、住院時間[(12.45±2.03)d 和(7.85±1.46)d]、住院費用[(20978.47±2976.15)元和(15231.25±1813.28)元]和第1、3天 CRP、皮質醇等應激反應指標比較差異均有統計學意義(P <0.05)。兩組病人噁心嘔吐和切口疼痛比較,差異均有統計學意義(P <0.05),其餘單箇併髮癥比較,差異均無統計學意義(P >0.05)。結論FTS 理唸應用于老年腹部大手術圍手術期處理是安全、有效的,可加速病人的康複進程。
목적：탐토쾌속강복외과(FTS)이념재노년복부대수술병인위수술중응용적안전성급유효성。방법장67례병인수궤분위대조조화 FTS 조,대조조채용상규위수술기처리방법,FTS 조채용 FTS 이념지도하우화적위수술기처리조시,분별비교량조병인술후배기시간、개시하상활동시간、주원시간、병인총적주원비용화 C 반응단백(CRP)、피질순등응격지표급술후병발증。결과량조병인술후장도회복시간[(104±21)h 화(76±22)h]、하상활동시간[(119.63±20.41)h 화(75.38±16.25)h]、주원시간[(12.45±2.03)d 화(7.85±1.46)d]、주원비용[(20978.47±2976.15)원화(15231.25±1813.28)원]화제1、3천 CRP、피질순등응격반응지표비교차이균유통계학의의(P <0.05)。량조병인악심구토화절구동통비교,차이균유통계학의의(P <0.05),기여단개병발증비교,차이균무통계학의의(P >0.05)。결론FTS 이념응용우노년복부대수술위수술기처리시안전、유효적,가가속병인적강복진정。
Objective To explore the safety and efficacy of fast track surgery (FTS)for major abdominal procedures in elders.Methods Methods A total of 67 patients were randomly divided into control and FTS groups.The control group received conventional treatment alone.Both groups were compared in terms of intestinal recovery time,ambulation time,postoperative hospital stay,total hos-pital expenditure,stress indices including C-reactive protein (CRP)and cortisol and postoperative complications.Results Significant inter-group postoperative differences existed in intestinal recovery time,ambulation time,postoperative hospital stay,total hospital expenditure and serum levels of CRP and cortisol at day 1 and 3 (P <0.05).Also nausea,vomiting and incision pain showed significant in-ter-group postoperative differences (P <0.05 ).Yet the incidence of other complications showed no significant inter-group differences (P >0.05).Conclusions FTS is both safe and efficacious for major abdominal procedures in elders.And patient recovery may be accelerated.
