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安徽省立医院外科
纸质出版日期:2017,
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[1]杜利.加速康复外科在肝胆外科胆肠吻合术围术期的应用价值[J].保健医学研究与实践,2017,14(03):55-58.
Du Li. Application value of enhanced recovery after surgery(ERAS) in patients received bilioenteric anastomosis during perioperative period[J]. Health Medicine Research and Practice, 2017,14(3):55-58.
目的探讨加速康复外科(ERAS)在肝胆外科胆肠吻合术围术期的应用价值。方法选取2012年12月-2014年12月合肥市某医院收治的60例肝胆管结石患者为研究对象
随机分为观察组与对照组
每组30例。患者均行胆肠吻合术进行治疗
观察组患者采用ERAS围术期处理方案
对照组患者采用传统围术期处理方案。比较2组患者术后恢复情况
主要包括肛门排气时间、排便时间、下床活动时间、腹腔引流管拔除时间、住院时间和并发症发生情况。同时检测并比较2组患者术后第1天、第3天及第6天血清C反应蛋白(CRP)、前白蛋白(PA)及总胆红素(TBIL)水平。结果观察组患者术后肛门排气时间、排便时间、下床活动时间、腹腔引流管拔除时间、住院时间均短于对照组
差异均有统计学意义(P<0.05);观察组患者术后咽喉疼痛、恶心呕吐发生率低于对照组
差异有统计学意义(P<0.05);观察组患者术后第1天、第3天及第6天血清CRP水平低于对照组
差异有统计学意义(P<0.01)
观察组患者术后第3天及第6天血清PA水平高于对照组
差异有统计学意义(P<0.01)。结论在肝胆外科胆肠吻合术围术期采用ERAS处理方案
可减轻患者因手术因素导致的不良应激反应
促进患者胃肠功能恢复及术后康复
缩短住院时间
值得临床推广应用。
Objective To discuss application value of enhanced recovery after surgery(ERAS)in patients received bilioenteric anastomosis during perioperative period.Methods From December 2012 to December 2014 a total of 60 patients with hepatic caculus in hospital of Hefei were selected and randomly divided into observation group(n=30)and control group(n=30).All the patients were recieved bilioenteric anastomosis and ERAS was applied during perioperative period for the observation group
while the control group were treated traditionally.In the comparison between 2groups after surgery
time of anal exhaust
defecation time
postoperative activity out of bed days
time of removing peritoneal drainage tube
hospital stays and complications.Meanwhile C-reactive protein(CRP)
prealbumin(PA)and total bilirubin(TBIL)levels of 2groups were detected and compared on 1day
3days
and 6days after surgery.Results The time of anal exhaust
defecation time
postoperative activity out of bed days
time of removing peritoneal drainage tube
hospital stays of observation group were shorter than the control group and the difference was significant(P<0.05);the incidence rate of throat ache and nausea/vomiting of observation were lower than the control group and the difference was significant(P<0.05);on the 1st
3rd and 6th day after the surgery the CRP levels of observation group were lower than the control group and the difference was significant(P<0.01);on the 3rd day and 6th day after the surgery the PA levels of observation were higher than the control group and the difference was significant(P<0.01).Conclusion Application of ERAS could reduce the bad stress reaction of patients during perioperative period and promote recovery of gastrointestinal function and postoperative rehabilitation
therefore shorten hospital stays
which is worth clinical expansion.
加速康复外科肝胆管结石胆肠吻合术
Enhanced recovery after surgeryHepatic calculusBilioenteric anastomosis
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