胃肠手术的安全性评估及个体化原则

Safety Assessment and the Principle of Individual Gastrointestinal Surgery

目的分析胃肠手术的安全性,并对其个体化原则进行总结。方法将2013年7月~2014年8月在我院接受治疗的102例行胃肠手术的患者作为此次研究的对象,按照随机分配的方法将患者分为实验组（n=51）和对照组（n=51）,给予对照组患者快速康复外科的方法进行护理,给予对照组患者常规护理,对胃肠手术的安全性进行评价,观察并对比两组患者的一般并发症、消化道瘘以及总体并发症的发生机率。结果两组患者的一般并发症机率均较低,且两组数据间的差异没有统计学意义;两组患者的消化道瘘发生机率存在显著差异,P〈0.05,数据间的差异有统计学意义。结论胃肠手术较具有较高的安全性,患者的并发症机率较少,在临床中要根据患者的个体差异应用快速康复外科,否则,会增加患者消化道瘘的发生机率。

Objective Analysis of the gastrointestinal safety of operation, and its principle of individual summary. Methods The patients from July 2013 to August 2014 in our hospital for treatment of gastrointestinal surgery routine 102 as an object of this study, according to the method of random allocation of patients were divided into experimental group（n=51） and control group（n=51）, given the method of fast track surgery care patients in the control group, the control group were given routine care, gastrointestinalsurgery to evaluate the safety, observe and compare the two groups of patients in general complications, gastrointestinal fistula and the overall incidence of complications. Results The overall probability of the two groups of patients with complications were low, and the difference between the two groups of data was not statistically significant; gastrointestinal fistula patients were significantly different probability, P〈0.05, the difference was statistically significant between the data. Conclusion Gastrointestinal surgery compared with higher security, the chances of complications in patients with less rapid recovery in the clinic to be based on individual differences in the application of surgical patients, otherwise, it will increase the incidence of patients with gastrointestinal fistula.