加速康复外科理念在腹腔镜胆囊切除术中的应用

Application of Fast Track Surgery Idea in Laparoscopic Cholecystectomy

[目的]探讨加速康复外科（FTS）理念在腹腔镜胆囊切除术中的应用效果。[方法]选取106例腹腔镜胆囊切除手术患者，随机分为快速康复组（FTS组）53例和常规治疗组（对照组）53例。比较两组术后的首次排气时间、进食时间、术后下床时间及恶心呕吐和手术并发症的发生率、住院时间、住院费用等指标。[结果]与对照组比较，FTS组术后首次排气时间缩短，术后进食和下床活动时间均提前，住院时间缩短，住院费用降低（P＜0．01或 P＜0．05）。两组术后恶心、呕吐发生率及手术并发症的发生率差异无统计学意义（P＞0．05）。[结论]加速康复外科可广泛应用于腹腔镜胆囊切除。

[Objective] To observe the clinical efficacy of fast-track surgery（FTS） idea used in laparoscopic cholecystectomy. [Methods] Totally 106 patients undergoing laparoscopic cholecystectomy were chosen and randomly divided into FTS group（ n = 53） and conventional treatment group（ n=53）. The postoperative first exhaust time, eating time, postoperative ambulation time, the incidence of nausea, vomiting and surgical corn plications, length of stay, hospitalization cost and other indicators were compared between two groups. IRe- suits] Compared with the control group, the first exhaust time after operation was shortened, and postopera- tive eating and ambulation time were ahead, and the length of stay was shortened, and the hospitalization cost was reduced in FTS group. There was no significant different in the incidence of postoperative nausea, vomi ting and operation complications between two groups. [Conclusion] FTS can be widely used in laparoscopic cholecystectomy.