摘要
目的探讨加速康复外科理念融入肝胆管结石手术治疗的疗效及安全性。方法选取在2015年9月—2017年10月于我院行肝胆管结石手术治疗的肝胆管结石患者80例为研究对象,并将患者分成对照组与研究组。对照组仅通过常规手术处理,研究组患者在常规手术的基础上融入加速康复外科理念。观察两组临床治疗效果,对两组患者术后恢复程度进行对比分析以及记录两组患者不良并发症情况。结果通过不同处理方法治疗后,研究组患者在首次下床时间、首次排便时间、排气时间、术后进食时间以及住院时间等5个指标上均显著优于对照组,对比差异具有统计学意义(P<0.05)。两组患者术后共发生出血、胆道感染、切口感染、胸腔积液等4类术后并发症,对照组发生率为40%,研究组发生率为20%,研究组患者术后并发症发生率低于对照组患者,对比差异具有统计学意义(P<0.05)。结论将加速康复外科理念融入肝胆管结石手术治疗中有显著的干预效果,能提高患者术后恢复程度以及降低并发症发生率。
Objective To explore the concept of accelerated rehabilitation surgery in the treatment efficacy and safety of hepatolithiasis surgery.Methods Eighty patients with hepatolithiasis treated with surgery in our hospital from September 2015 to October 2017 were selected as subjects and the patients were divided into control group and study group.The control group only treated with conventional surgical treatment,patients in the study group also adopted the concept of accelerated rehabilitation surgery on the basis of the routine operation.The clinical effects and postoperative recovery of the two groups was compared,and the adverse complications of the two groups of patients were recorded.Results Through different processing methods,the patients in the study group were significantly better than the control group in the first time of getting out of bed,the time of first defecation,the time of exhaust,the time of eating after operation and the time of hospitalization.The difference was statistically significant(P<0.05).Bleeding,biliary tract infection,incision infection,pleural effusion and other complications occurred in both groups.The incidence was 40%in the control group and 20%in the study group.The incidence was significantly lower in study group than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The concept of accelerated rehabilitation surgery is integrated into the surgical treatment of hepatolithiasis.There are significant intervention effects,and can significantly improve the degree of postoperative recovery and reduce the incidence of adverse complications.
作者
傅建波
FU Jianbo(The Second Department of Surgery,Hejiang County People's Hospital,Hejiang Sichuan 646200,China)
出处
《中国卫生标准管理》
2018年第14期22-24,共3页
China Health Standard Management
关键词
肝胆管结石
加速康复
手术治疗
疗效
安全性
围手术期
hepatolithiasis
accelerated rehabilitation
surgical treatment
efficacy
safety
perioperative period
