摘要
目的 探讨快速康复外科理念应用于肝癌切除术围手术期的效果.方法 选择2015年6月—2016年6月在西安交通大学第一附属医院接受肝癌切除术治疗的87例患者为研究对象,按照时间段分组,将2015年6—12月未运用快速康复外科理念的43例患者作为对照组,将2016年1—6月使用快速康复理念的44例患者作为观察组.结果 观察组首次下床时间、术后排气时间、术后排便时间、住院时间均优于对照组,术后并发症发生率低于对照组、自理能力高于对照组,两组上述指标比较,差异均具有统计学意义（P〈0.05）.结论 在快速康复外科理念指导下,对肝癌切除术患者进行围手术期干预,能够有效提高患者的康复效果,降低并发症发生率,值得推广使用.
Objective To explore the effect of fast track surgery （FTS） concept on perioperative period of liver resection for hepatocellular carcinoma. Methods 87 patients who underwent hepatectomy from June 2015 to June 2016 at the First Affiliated Hospital of Xi＇an Jiaotong University were enrolled in this study. 43 patients treated with conventional methods from June to December 2015 were selected to be the control group and another 44 patients under the guidance of the concept of FTS from January to June 2016 was the study group. Results In the study group, the patients had earlier postoperative ambulation, earlier gas passing and defecation; the hospital stay was shorter; the incidence of postoperative complications was lower; the self-care ability was greater. The difference between the two groups was statistically significant （P〈0.05）. Conclusion Under the guidance of FTS concept, perioperative intervention for patients who underwent liver resection for hepatocellular carcinoma can effectively improve the rehabilitation and reduce the complications. The application of FTS concept is highly recommended.
出处
《中国实用乡村医生杂志》
2017年第7期71-73,共3页
Chinese Practical Journal of Rural Doctor
关键词
肝癌
手术治疗
切除术
快速康复外科理念
围手术期
Hepatocellular Carcinoma, Surgical Treatment, Resection, Fast Track Surgery, Perioperative Period
