加速康复外科在急腹症救治中的应用价值

Value of fast track surgery in treatment of acute abdominal disease

目的:评价加速康复外科(FTS)理念在急腹症救治过程中的应用价值。方法:按照连续采样的方法收集因急腹症急诊入院并行急诊手术治疗的患者,其中接受FTS 253例,传统手术(CTS)197例。比较两组患者的相关生化指标和临床指标。结果:两组患者疾病构成差异无统计学意义(χ2=2.530,P=0.642),性别构成、年龄差异亦无统计学意义(P>0.05)。与CTS组比较,FTS组患者术后血浆血浆C反应蛋白及前白蛋白水平明显改善(P<0.05),术后肠功能恢复时间缩短,术后首次下床活动、首次进食时间提前,术后并发症发生率降低,住院时间缩短,住院费用减少(P<0.05),术后WHO疼痛分级降低(P<0.05)。结论:FTS应用于急腹症救治的围手术期处理安全、有效。

Aim： To investigate the application value of fast track surgery（ FTS） in treatment of acute abdominal disease. Methods： A total of 450 patients with acute abdominal disease were collected,253 in FTS group and 197 in conservative treatment surgery（ CTS） group. Biochemical and clinical markers of the 2 groups were compared. Results： There were no significant differences in disease composition,age or gender composition between the 2 groups（ P〈0. 05）. While compared with CTS group,FTS group had lower plasma CRP level,higher PA level,complication rate and hospital cost,and a shorter time of bowel function recovery,first postoperative ingress and hospital stay,and a lower WHO pain rating scale（ P〈0. 05）. Conclusion： FTS is safe and effective during perioperative treatment for acute abdominal disease.