摘要
目的探讨快速康复外科(ERAS)理念在腹腔镜解剖性肝切除治疗肝包虫病中的应用效果。方法选取2015年9月至2017年12月行腹腔镜解剖性肝切除治疗肝包虫病的患者62例,按照是否将ERAS理念运用于围手术期处理过程中,将患者分成ERAS组(n=30)和对照组(n=32)。ERAS组采用ERAS理念指导下的围手术期处理措施,对照组采用传统围手术期处理措施,观察并比较两组患者一般资料、手术时间、术中出血量,手术前后疼痛视觉模拟评分(VAS),术后下床活动时间、进食时间、肛门排气时间、住院时间、并发症发生情况。结果两组患者术前一般资料、手术时间、术中出血量、新入院时疼痛视觉模拟评分(VAS)比较差异无统计学意义(P> 0. 05); ERAS组手术前一天及术后各阶段VAS评分低于对照组(P <0. 01),术后下床活动时间、进食时间、肛门排气时间早于对照组(P <0. 01),住院时间、并发症发生情况少于对照组(P <0. 01)。结论 ERAS理念应用于腹腔镜解剖性肝切除治疗肝包虫病患者,可有效减轻围手术期疼痛,减少术后并发症发生,促进术后早期康复,缩短住院时间,具有临床推广使用价值。
Objective To investigate the application of enhanced recovery after surgery(ERAS)in laparoscopic anatomical hepatectomy for hepatic hydatid disease.Methods Sixty-two patients with hepatic hydatidosis who underwent laparoscopic hepatectomy from September 2015 to December 2017 were randomly divided into ERAS group(n=30)and control group(n=32).The ERAS group received perioperative management guided by ERAS concept,while the control group received traditional perioperative management.The general data,operation time,intraoperative bleeding volume,visual analogue score(YAS)of pain before and after operation,time of ambulation,dinning time,anal exhaust time,hospitalization time and complications were observed and compared between the two groups.Results There was no significant difference in preoperative general data,operative time,intraoperative bleeding volume and new admission VAS between the two groups(P>0.05).The VAS scores of the ERAS group were lower than those of the control group on one day before operation and at all stages after operation(P<0.01).The postoperative ambulation time,dinning time and anal exhaust time in the ERAS group were earlier than those in the control group(P<0.01),hospitalization time and complications in the ERAS were less than those in the control group(P<0.01).Conclusion The application of ERAS concept in laparoscopic anatomical hepatectomy for hepatic hydatid disease can effectively relieve the perioperative pain,reduce the postoperative complications,promote the early postoperative rehabilitation and shorten the hospital stay.It is of clinical value.
作者
方贵蓉
母齐鸣
杨娟
FANG Gui-rong;MU Qi-ming;YANG Juan(Chengdu 363 Hospital,Affiliated to Southwest Medical University,Chengdu 610041,China)
出处
《实用医院临床杂志》
2019年第2期191-193,共3页
Practical Journal of Clinical Medicine
基金
四川省医学会科研基金资助项目(编号:S15003)
