摘要
目的:探讨肝硬化门静脉高压手术治疗安全性及减少术后并发症、加快康复的有效方法。方法:根据前瞻性和随机性原则,将肝硬化门静脉高压患者46例分为加速康复组(26例)与传统治疗组(20例)。加速康复组运用加速康复外科理念,观察2组患者术后并发症发生率、重要脏器功能恢复及术后康复时间。结果:加速康复组与传统治疗组比较,胃肠功能恢复较快(P<0.01),血浆用量和平均营养费用较少(P<0.01),住院时间缩短(P=0.039),总并发症减少(P=0.001);术后8 d血清前白蛋白和转铁蛋白已恢复到术前水平,与对照组比较差异有统计学意义(P<0.05)。结论:充分掌握肝硬化门静脉高压病理生理特点,运用加速康复措施,可有效减少手术并发症的发生,加速术后康复。加速康复措施对肝硬化门静脉高压术后患者是一种安全、有效、合理的治疗措施。
Objective:To evaluate the prognosis impact of fast-track rehabilitation on liver cirrhosis patients with portal hypertension after surgical therapy.Methods: Forty six liver cirrhosis patients with portal hypertension were selected and divided into FTS group and traditional therapy group according to prospective and random principles.The fast-track surgery measure was applied on FTS patients,and the post-operative complications,functional recovery of important organs and post-operative rehabilitation time were investigated.Results: Compared with control group,the FTS group had shorter time of gut function,less blood plasma usage,less nutritional drugs costs(P〈0.01),shorter hospital stay time(P=0.039) and fewer total complications(P=0.001).In FTS group,the serum prealbumin and transferrin level neared the preoperative level on post-operative eighth daywith significant difference(P〈0.05) compared with control group.Conclusion: The application of TFTS measure after mastering physiopathologic characteristics could effectively decrease post-operative complications and promote post-operative rehabilitation.The FTS measure is safe,rational and effective on liver cirrhosis patients with portal hypertension.
出处
《中国现代普通外科进展》
CAS
2010年第10期779-782,共4页
Chinese Journal of Current Advances in General Surgery
关键词
肝硬化
高血压
门静脉
加速康复外科
并发症
Liver Cirrhosis·Hypertension
portal·Fast-track rehabilitation·Complications