加速康复外科在腹部手术围术期的临床应用探讨

Discussion on clinical application of fast ttrack surgery in abdominal surgery' perioperative care

目的探讨加速康复外科在腹部手术围术期中的临床应用的价值。方法将进行腹部手术的140例患者随机分为观察组(加速康复外科组)和对照组(常规手术组),两组各70例,对比两组术后各指标的相关情况。结果相对于对照组,观察组患者术后下地时间、排便时间和排气时间显著提前(P<0.05),术后住院时间显著缩短,术后住院费用显著降低(P<0.05)。结论加速康复外科能够保障患者术后恢复速度,缩短其住院时间,节省住院费用,具有较大的临床应用价值。

Objective To discuss the clinical value of fast track surgery （FTS） in abdominal surgery perioperative care. Methods 140 patients were randomly divided into two group, FTS group and conventional group. There were 70 patients respectively. The two group＇s relative indexes were compared. Results Compared with conventional group, the patients in FTS group had greatly been improved in ground activity time, exhnust time and defecation time（ P 〈 0. 05 ）. Furthermore, FTS group also cut down its average time and cost in hospital（ P 〈 0.05 ）. Conclusion FTS methods can shorten the average hospital stay and speed up the rehabilitation, and it does not increase the incidence of complication.