经腹全子宫切除术后快速流程的临床应用

Clinical Application of Fast Track after Abdominal Hysterectomy

目的探讨快速流程(fast track,FT)应用于经腹全子宫切除术后的临床安全性与可行性。方法 2009年2月至2011年2月98例子宫良性疾病行经腹全子宫切除术患者,按随机数字表法分为FT组(48例)和传统组(50例)。FT组采用FT模式进行围术期管理,传统组采用常规模式进行围术期管理,比较2组患者术后早期康复指标、术后并发症情况及住院费用。结果 FT组首次排气时间、首次下床时间和首次经口进食时间都明显早于传统组,术后住院时间FT组明显短于传统组(均P<0.01);2组术后并发症比较差异无统计学意义(均P>0.05);FT组住院费用较传统组明显下降(P<0.01)。结论子宫良性疾病行经腹全子宫切除术患者术后采用FT管理模式具有良好的安全性,能够缩短患者的住院时间,降低住院费用,促进术后康复,改善患者的生活质量。

Objective To discuss the safety and feasibility of fast track（FT） in patients who underwent abdominal hysterectomy.Methods A total of 98 patients who underwent abdominal hysterectomy for benign uterine disease between February 2009 and February 2011 were given perioperative management of conventional model（conventional group,n=50） or FT model（FT group,n=48）.Early postoperative rehabilitation,complications and hospitalization costs were compared between the two groups.Results Compared with conventional group,FT group had earlier time to 1st passing flatus,1st meal and 1st out-bed mobilization,shorter postoperative hospital stay,and less hospitalization costs（P0.01）.There were no significant differences in postoperative complications between the two groups（P0.05）.Conclusion Perioperative FT management gas a good safety and can accelerate recovery,shorten hospital stay,decrease hospitalization costs and improve life quality in patients who underwent abdominal hysterectomy for benign uterine disease.