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加速康复外科理念在胆囊切除术中的应用 被引量:14

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摘要 目的比较加速康复外科治疗方案与常规治疗方法在胆囊切除术围手术期的应用效果。方法 100例单纯胆囊切除术患者,随机分成加速康复外科(FTS)组50例与常规治疗方法 (对照)组50例。比较两组患者术后住院时间、住院费用、术后下床活动时间、术后进食时间及并发症的发生率。结果 FTS组比对照组术后住院时间明显缩短,住院费用明显减少,术后下床活动时间与进食时间也明显提前(P<0.05)。而进食后不适情况与并发症差异无统计学意义。结论加速康复外科理念在胆囊切除术围手术期处理中的应用是经济、有效的。
出处 《江苏医药》 CAS CSCD 北大核心 2010年第10期1202-1203,共2页 Jiangsu Medical Journal
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参考文献8

  • 1Wilmore DW, Kehlet H. Management of patients in fast track surgery[J]. BMJ, 2001,322(7284) : 473-476.
  • 2Kehlet H,Wilmore DW. Multimodal strategies to improve surgical outcome[J]. Am J Surg, 2002,183 (6) : 630-641.
  • 3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:1353
  • 4Basse L, Hjort JD, Billesbolle P, et al. A clinical pathway to accelerate recovery after colonic resection[J].Ann Surg, 2000, 232(1):51-57.
  • 5江志伟,黎介寿,汪志明,李宁,柳欣欣,李伟彦,朱四海,刁艳青,佴永军,黄小静.胃癌患者应用加速康复外科治疗的安全性及有效性研究[J].中华外科杂志,2007,45(19):1314-1317. 被引量:242
  • 6Kaboli P, Henderson MC, White RH. DVT prophylaxis and anticoagulation in the surgical patient[J]. Med Clin North Am, 2003,87(1) :77-110.
  • 7Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J].Br J Anaesth, 1997, 78 (5) : 606-617.
  • 8郑树忠.关于卫生事业发展与费用控制的探讨[J].中国卫生资源,2000,3(5):203-205. 被引量:36

二级参考文献28

  • 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:1353
  • 2Wilmore DW,Kehlet H.Management of patients in fast track surgery[J].BMJ,2001,322(7284):473 -476.
  • 3Kehlet H,Wilmore DW.Multi-modal strategies to improve surgical outcome.Am J Surg,2002,183 (6):630-641.
  • 4Rodgers A,Walker N,Schug S,et al.Reduction of post-operative mortality and morbidity with epidural or spinal anaesthesia:results from an overview of randomized trials[J].BMJ,2000,321(7275):1493.
  • 5Sessler DI.Mild perioperative hypothermia[J].N Engl J Med,1997,336(24):1730-1737.
  • 6Brandstrup B.Fluid therapy for the surgical patient[J].Best Pract Res Clin Anaesthesio1,2006,20 (2):265 -283.
  • 7Schmidt M,Lindenauer PK,Fitzgerald JL,et al.Forecasting the impact of a clinical practice guideline for perioperative betablockers to reduce cardiovascular morbidity and mortality[J].Arch Intern Med,2002,162(1):63 -69.
  • 8Ramirez RJ,Wolf SE,Barrow RE,et al:Growth hormone treatment in pediatric burns:a safe therapeutic approach[J].Ann Surg,1998,228 (4):439-448.
  • 9Van den Berghe G,Wouters P,Weekers F,et al.Intensive insulin therapy in critically ill patients[J].N Engl J Med,2001,345(19):1359-1367.
  • 10Van der Lely AJ,Lamberts SW,Jauch KW,et al.Use of human GH in elderly patients with accidental hip fracture[J].Eur J Endocrinol,2000,143 (5):585-592.

共引文献1560

同被引文献89

  • 1Zhu Xueguang,Zhang Shengduo,HuangZhiqiang,et al. People′s Hospital,Beijing Medical U-niversity,Beijing100044..我国胆石病十年来的变迁[J].中华外科杂志,1995,33(11):652-658. 被引量:155
  • 2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:1353
  • 3Nisanevich V, Felsenstein I, Almogy G, et al. Effect of intraoperative fluid management on outcome after intraahdominal surgery. Anesthesiology ,2005,103 ( 1 ) :25-32.
  • 4Ljungqvist O, Soreide E. Preoperative fasting. Br J Surg, 2003,90 (4) :400-406.
  • 5Lobo DN, Bostnok KA, Neal KR, et al. Effect of salt and water balance on recovery of gastrointestinal function after elective colonic resection:a randomised controlled trials. Lancet, 2002,359 ( 9320 ) : 1812-1818.
  • 6Kehlet H, Wilmore DW. Multrimodal strategies to improve surgical outcome. Am J Surg, 2002,183(6) :630-641.
  • 7江志伟,黎介寿,汪志明,李宁,柳欣欣,李伟彦,朱四海,刁艳青,佴永军,黄小静.胃癌患者应用加速康复外科治疗的安全性及有效性研究[J].中华外科杂志,2007,45(19):1314-1317. 被引量:242
  • 8Kehlet H, Wilmore DW. Muhimodal strategies to improve surgical outcome[J]. Am J Surg, 2002, 183(6):630-641.
  • 9Wilmore DW, Kehlet H. Management of patients in fast track surgery[J]. BMJ, 2001, 322(7284):473-476.
  • 10Varadhan KK, Neal KR, Dejong CH, et al. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials[J]. Clin Nutr, 2010, 29(4):434-440.

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二级引证文献109

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