加速康复外科在腹腔镜胆囊切除术中的应用

The clinical application of fast track surgery in laparoscopic cholecystectomy

目的应用围手术期加速康复外科理念,观察腹腔镜胆囊切除术患者临床应用的安全性及优势。方法250例腹腔镜胆囊切除术患者随机分成两组:采用围手术期加速康复外科治疗126例,传统方法治疗124例。分析比较两组患者术后住院时间、停止输液时间、住院费用和术后并发症发生情况。结果加速康复组与传统方法组比较,可更好地促进患者恢复,缩短住院时间、降低住院费用,减少患者因医源性操作引起的不适及手术相关并发症的发生。结论加速康复外科治疗措施在腹腔镜胆囊切除术患者中应用是安全、经济、有效和可靠的围手术期处理方案。

Objective To observe the safety and advantage in the clinical application of laproscopic tholecystectomy using the theory, of fast track surgery, in perioperative period. Methods One hundred and tweuty- six patients were taken fast track surgery in perioperative period as the trial group, and 124 patients were taken conventional perioperative care as the c, ontrol group. The hospital stay time, medical cost and postoperative complication were observed. Results Compared with the conventional care group, fast track surgery was associated with a significantly shorter postoperative hospital stay, less medical cost and more comfortableness. Conclusion Fast track surgery may be feasible and effective in laparoscopic operations.