摘要
目的探讨加速康复外科(enhanced recovery after surgery, ERAS)理念在军人腹腔镜阑尾切除术围手术期应用的临床效果。方法选取2017年1月~2019年12月医院接诊的90例军人急性阑尾炎患者进行研究,所有患者均行经腹腔镜阑尾切除术。按照随机数表法,随机均分为研究组和对照组。研究组围手术期采用ERAS处理,对照组围手术期采用传统理念处理。记录分析两组患者下床活动时间、肛门排气时间、住院时间、半流质饮食时间、并发症、恢复训练时间及满意度。结果研究组术后下床活动时间、肛门排气时间、住院时间、半流质饮食时间、恢复训练时间显著少于对照组,差异具有统计学意义(P <0.05)。研究组满意度评分明显高于对照组,差异具有统计学意义(P <0.05)。两组患者术后并发症比较并无统计学意义(P>0.05)。结论 ERAS在军人腹腔阑尾切除术围手术期的应用能够促进患者康复,缩短术后恢复训练时间,提高满意度,值得军队医院进一步推广。
Objective To explore the clinical efficacy of application of enhanced recovery after surgery(ERAS) in perioperative period of laparoscopic appendectomy in soldiers. Methods A total of 90 soldiers with acute appendicitis who were admitted to our hospital between January 2017 and December 2019 were selected for study. All the patients underwent laparoscopic appendectomy.According to random number table method, the patients were randomly divided into the study group and the control group. During the perioperative period, the study group was treated with ERAS and the control group was treated with traditional therapy. Records and analysis were made for the patients in both groups in terms of the off-bed time, anal exhaust time, length of stay, duration of semiliquid diet, complications, training time for recovery and satisfaction. Results The off-bed time, anal exhaust time, length of stay,duration of semi-liquid diet, and training time for recovery in the study group were significantly shorter than that of the control group,and the differences were statistically significant(P < 0.05). The satisfaction score of the study group was significantly higher than that of the control group, and the difference was statistically significant(P < 0.05). The difference of the postoperative complications between the two groups showed no statistical significance(P > 0.05). Conclusion Application of ERAS in perioperative period of laparoscopic appendectomy in soldiers can promote the recovery of patients, shorten the postoperative training time for recovery and improve the satisfaction, which is worthy of further promotion in military hospitals.
作者
石悦洪
陈维钢
陈理国
刘永康
Shi Yuehong;Chen Weigang;Chen Liguo;Liu Yongkang(Department of General Surgery,Air Force Hospital of Western Theater Command of PLA,Chengdu,Sichuan,610021,China)
出处
《西南国防医药》
CAS
2020年第4期310-312,共3页
Medical Journal of National Defending Forces in Southwest China
关键词
加速康复外科
腹腔镜阑尾切除术
临床效果
enhanced recovery after surgery
laparoscopic appendectomy
clinical efficacy
