快速康复外科理念在急诊外伤性脾破裂围手术期中的应用

Application of Fast Track Surgery in the Perioperative Period of Emergency Traumatic Splenic Rupture

目的：探讨快速康复外科（ FTS）理念在急诊外伤性脾破裂围手术期中应用的可行性及效果。方法将2010年1月～2012年12月收治的86例接受急诊手术的脾破裂患者随机分为FTS组（ n＝44）和对照组（传统方法处理，n＝42）。分析比较两组患者胃肠功能恢复时间、住院天数、住院费用以及术后并发症发生率情况。结果 FTS组与对照组相比较，胃肠功能恢复早（ t＝6.527 P＜0.05），住院天数少（ t＝2.847 P＜0.05），住院费用低（ t＝3.208 P＜0.05），术后并发症发生率低（χ2＝4.835 P＜0.05），差异有统计学意义。结论快速康复外科理念在急诊外伤性脾破裂围手术期中的应用是安全、有效，可加速患者的康复进程。

Objective To investigate the feasibility and effectiveness of fast track surgery （FTS） for emergency trau-matic splenic rupture during perioperative period.Methods 86 emergency traumatic splenic rupture patients treated in our center were randomly designated to either FTS group （n=44）or control group （ receiving conventional treatment , n=42 ）.Compare with two groups of patients , time for gastrointestinal function recovery , length of hospital stay , medical cost and the incidence of postoperative complications.Results Compare the FTS group with the control group , time for＆amp;nbsp;gastrointestinal function recovery （ t=6.527 P〈0.05 ） , length of hospital stay （ t=2.847 P〈0.05 ） , medical cost （ t=3.208 P〈0.05 ） and the incidence of postoperative complica-tions（χ2 =4.835 P〈0.05） with the significant differences statistically.Conclusions The application of fast track sur-gery in the perioperative period of emergency traumatic splenic rupture is safe and efficient ,which could accelerate the re-covery after surgery .