CAJ | 학술논문

目的：观察快速康复外科理念在痔疮患者围手术期中的应用效果。方法选取混合痔患者78例，随机分为观察组（n＝40）与对照组（n＝38），观察组围手术期处理应用快速康复外科技术（FTS），对照组围手术期处理采用传统方法，比较两组的手术情况及术后康复情况。结果观察组手术时间长于对照组（t＝2.189，P＜0.05），术中出血量少于对照组（ t＝2.974，P＜0.05），术后并发症少于或轻于对照组（ P＜0.05），创面愈合时间、住院时间、治疗费用短于或少于对照组（ P＜0.05），临床疗效优于对照组（χ2＝2.596，P＜0.05）。结论在混合痔围手术期应用FTS方案，利于减少及减轻术后并发症，利于患者术后康复。
목적：관찰쾌속강복외과이념재치창환자위수술기중적응용효과。방법선취혼합치환자78례，수궤분위관찰조（n＝40）여대조조（n＝38），관찰조위수술기처리응용쾌속강복외과기술（FTS），대조조위수술기처리채용전통방법，비교량조적수술정황급술후강복정황。결과관찰조수술시간장우대조조（t＝2.189，P＜0.05），술중출혈량소우대조조（ t＝2.974，P＜0.05），술후병발증소우혹경우대조조（ P＜0.05），창면유합시간、주원시간、치료비용단우혹소우대조조（ P＜0.05），림상료효우우대조조（χ2＝2.596，P＜0.05）。결론재혼합치위수술기응용FTS방안，리우감소급감경술후병발증，리우환자술후강복。
[ Abstrcat] Objecti ev To investigate the effect of fast track surgery ( FTS)on the patients with mixed hemor-rhoids in the perioperative period .Methods 78 patients with mixed hemorrhoids were randomly divided into two groups:the observation group( n=40 ) and the control group ( n=38 ) .The control group was treated with conven-tional methods , while the observation group was treated with fast track surgery in the perioperative period .Both groups were compared in terms of operation and postoperative rehabilitation .Results Compared with the control group, the FTS group had longer operative time ( t=2.189 , P<0.05 ) .The FTS group was better than the control group in less blood loss ( t=2.974 , P<0.05 ) , fewer postoperative complications ( P<0.05 ) .There were significant differences in wound healing time , duration of hospitalization , hospital costs ( P<0.05) and clinical effect (χ2=2.596 , P<0.05 ) , and better outcome was seen in the observation group .Conclusion Fast track surgery in periop-erative period of mixed heorrhoids can reduce the complications , being helpful for the patients postoperative recovery .