期刊文献+

快速康复理念在基层医院腹腔镜胆囊切除术中的应用 被引量:7

Application of Fast Track Surgery in Laparoscopic Cholecystectomy in Primary Hospital
原文传递
导出
摘要 目的探讨快速康复外科理念在基层医院实施的效果。方法收集65例拟行腹腔镜胆囊切除术的患者,随机分为观察组(n=35)和对照组(n=30)。观察组围手术期采用快速康复外科理念处理,对照组围手术期采用传统腹腔镜胆囊切除术处理。结果观察组比对照组的患者术后进食时间早,术后肛门排气时间早、术后住院日缩短、住院费用减少。两组术后并发症及患者住院满意度差异无统计学意义。结论快速康复外科理念指导下的腹腔镜胆囊切除术治疗胆囊结石和胆囊息肉疗效好,值得在基层医院广泛推广。 Objective To explore the implementation effects of fast track surgery (FTS)in primary hospital. Methods 65 patients undergoing laparoscopic cholecystectomy were divided into observation group( n = 35)and control group( n = 30)randomly. Patients in the control group received conventional perioperative care, while those in the observation group underwent Frs measures. Results Patients in the observation group had early postoperative eating time and anal exsufflation time ,less hospitalization days and expenses compared with those in the control group. There was no significant difference in postoperative complications and satisfaction of patients between two groups. Conclusion The application of FTS in laparoscopic cholecystectomy is safe and effective, which is worth popularizing in primary hospitals.
出处 《医学新知》 CAS 2013年第4期282-283,共2页 New Medicine
关键词 快速康复外科理念 腹腔镜胆囊切除术 Fast track surgery Laparoscopic cholecystectomy
  • 相关文献

参考文献12

二级参考文献71

共引文献1446

同被引文献56

  • 1江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量:1355
  • 2李乐之,路潜.外科护理学[M].第5版.北京:人民卫生出版社,2012:603.
  • 3胡雁,李晓玲.循证护理的理论与实践[M].上海:复旦大学出版社,2011:12.
  • 4Kehlet H, Wilmore D W. Multimodal strategies to improve surgical outcome[J]. Am J Surg,2002,183(6) :630-641.
  • 5Ljungqvist O ,Screide E. Preoperative fasting[ J]. Br J Surg,2003,90 (4) :400-406.
  • 6Dindo D, Demartines N, Clavien P A. Classification of surgical com- plications:a new proposal with evaluating in a cohort of 6336 patients and results of a survey [ J ]. Ann Surg, 2004,240 ( 2 ) : 205-313.
  • 7Rawlinson A, Kitchinqham N, Hart C, et al. Mechanisms of reducing postoperative pain, nausea and vomiting : a systematic review of cur- rent techniques[ J]. Evid Based Med ,2012,17 ( 3 ) :75-80.
  • 8Pellegrini C, Wetter LA, Patti M, et al. Thoracoscopic esophago nayotomy. Initial experience with a new approach for the trcannent of achalasia. Ann Surg, 1992,216:291-299.
  • 9Kehlet H,B achier MW,Beart RW,et al. Care after colonic opera- tion:is it evidence- based? results from a multinational survey in Europe and the United States[J]. J Am Coil Surg,2006,202( 1 ) : 45.
  • 10林凌,许焕建,方兴亮.两种腹腔镜胆囊切除中转开腹术的对比分析[J].中国全科医学,2010,13(2):196-197. 被引量:13

引证文献7

二级引证文献116

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部