CAJ | 학술논문

目的探讨成人腹股沟疝围术期应用加速康复外科理念对实施腹股沟疝临床路径的影响.方法 160例成人腹股沟疝患者按照随机数字表分为观察组(加速康复组)和对照组(传统治疗组),每组80例,分析比较两组患者术后住院天数、术后输液时间、住院总费用、医药总费用、术后并发症发病率以及临床路径变异率情况.结果与对照组比较,观察组术后住院天数、术后输液时间、住院疗总费用、医药总费用降低;临床路径总变异率、负性变异率降低(P＜0.05).结论在成人腹股沟疝围术期应用加速康复外科理念,强化围术期的处理,减少人为操作带来的应激反应,能够更好地促进患者康复,缩短住院时间,降低医疗费用,减少临床路径变异的发生.
목적 탐토성인복고구산위술기응용가속강복외과이념대실시복고구산림상로경적영향.방법 160례성인복고구산환자안조수궤수자표분위관찰조(가속강복조)화대조조(전통치료조),매조80례,분석비교량조환자술후주원천수、술후수액시간、주원총비용、의약총비용、술후병발증발병솔이급림상로경변이솔정황.결과 여대조조비교,관찰조술후주원천수、술후수액시간、주원료총비용、의약총비용강저;림상로경총변이솔、부성변이솔강저(P＜0.05).결론 재성인복고구산위술기응용가속강복외과이념,강화위술기적처리,감소인위조작대래적응격반응,능구경호지촉진환자강복,축단주원시간,강저의료비용,감소림상로경변이적발생.
Objective To determine the factors affecting variation of critical pathways in adult inguinal hernia by perioperative application of enhanced recovery after Surgery.Methods One hundred and sixty patients with inguinal hernia were randomly designated to observational group and control group, with 80 cases in each group.Patients in observational group received ERAS perioperative care, while those in control group were given the traditional perioperative management.The length of postoperative hospital stay, duration of postoperative transfusion, hospitalization expenses, total drug cost and incidence of postoperative complications as well as the variation of critical pathways were compared between the two groups of patients.Results In observational group compared with control group, the length of postoperative hospital stay, duration of postoperative intravenous fluid infusion, hospitalization cost and total drug cost were reduced(P ＜0.05), the total and the negative mutation rate of the clinical path was decreased(P ＜ 0.05).Conclusions In adult inguinal hernia therapy, using ERAS conception with enhanced preoperative management and reduced stress responses to medical procedures can help accelerate patients recovery,shorten the length of hospital stay, and reduce variation of critical pathways.