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加速康复外科在老年人腹腔镜胆囊切除术围手术期的应用分析
Application of fast track surgery in elderly patients during perioperative period of laparoscopic cholecystectomy
文章发布日期:2014年11月24日  来源:  作者:张勇,陈延山  点击次数:1217次  下载次数:334次

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【摘要】:目的探讨老年人腹腔镜胆囊切除术(LC)应用加速康复外科(FTS)措施的安全性和优越性。方法收集嘉峪关市第二人民医院普外科2010年1月-2014年3月进行LC的124例老年人的临床资料。其中62例为FTS组,62例为传统方法组,对比研究两组术后患者肛门通气时间、进食和下床活动、住院时间等恢复情况,并对手术结果、不良反应等给予记录。计量资料组间比较采用独立样本的t检验,计数资料采用χ2检验进行分析。结果FTS组术后患者较传统方法组患者术后肛门排气时间短[(85±15)h vs (16.3±2.4)h]、术后进食时间短[(5.5±1.5)h vs (19.5±2.5)h]、术后下床活动时间早[(7.5±1.5)h vs (12.8±3.5)h]、住院天数少[(5.88±1.56)d vs (8.96±1.24)d]、术后心脑并发症发生率低(4.83% vs 16.13%),差异均有统计学意义(P值均<0.05)。结论LC应用FTS措施对患者术后早期恢复更加积极有效。
【Abstract】:Objective To investigate the safety and superiority of fast track surgery (FTS) in elderly patients during the perioperative period of laparoscopic cholecystectomy (LC). Methods The clinical data of 124 elderly patients who underwent LC at the Department of General Surgery in our institution between January 2010 and March 2014 were assessed, with 62 cases assigned to FTS group and 62 cases to conventional method group. Anal exhaust time, feeding time, off-bed activity time, and length of hospital stay were compared between the two groups, and postoperative results and adverse reactions were recorded. Continuous data were analyzed using the independent-samples t test, and categorical data were compared using the chi-square test. Results Compared with the control method group, patients in the FTS group showed earlier postoperative anal exhaust, feeding, and off-bed activity, a shorter length of hospital stay, and a lower incidence of postoperative cardiovascular and cerebrovascular complications (P<0.05). Conclusion FTS is an effective approach to accelerate rehabilitation in elderly patients after LC.
【关键字】:加速康复外科;胆囊切除术,腹腔镜;围手术期护理;老年人
【Key words】:fast track surgery; cholecystectomy, laparoscopic; perioperative nursing; aged
【引证本文】:

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