快速康复外科在腹腔镜胆囊切除术围手术期护理中的应用

Fast Track Surgery in Peri-laparoscopic Cholecystectomy Care

目的探讨快速康复外科(fast track surgery,FTS)在腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)围手术期的应用效果。方法 2011年1～6月280例LC按入院日期单双号分为FTS组与传统组各140例,2组术前、术中、术后给予不同的处理,比较2组患者康复及术后并发症的发生情况。结果 FTS组恶心呕吐、切口疼痛、肺部感染、泌尿系感染的发生率明显低于传统组(P<0.05)。FTS组术后住院时间(2.5±1.4)d显著短于传统组(5.1±1.7)d(t=-13.969,P=0.000),输液时间(2.7±1.3)d显著短于传统组(4.9±2.0)d(t=-10.913,P=0.000),治疗费用(6.9±1.8)千元显著少于传统组(10.0±1.6)千元(t=-15.230,P=0.000)。结论 LC围手术期中应用FTS,具有安全、经济、有效、可靠等优势。

Objective To observe the safety and benefit of fast track surgery （FTS） in peri-laparoscopic cholecystectomy （LC） care. Methods Totally 280 patients who were receiving LC were divided into FTS group and traditional group with 140 cases in each. The pre-, intra- and post-operative care were different between the two groups. The recovery and postoperative complications in the two groups were compared, Results FTS group showed significantly lower rates of nausea and vomiting, incisional pain, pulmonary infection, and urinary infection than the traditional group （P 〈 0.05）. Furthermore, its hospital stay, infusion time, and hospital cost were all significantly less than the traditional group [ （ 2.5 ± 1.4 ） d vs. （ 5. 1 ±1.7 ） d, t = - 13. 969, P = 0. 000 ; （2.7±1.3） dvs. （4.9±2.0） d,t= -10.913, P=0. 000; and （6900±1800） RMBvs. （10000±1600） RMB, t= -15.230, P = 0. 000; respectively]. Conclusion Peri-FTS is safe, economic, effective and reliable.