中西医结合快速康复外科在妇科腹腔镜围手术期的应用

Application of Integrative Chinese and Western Medicine Fast-track Rehabilitation in Surgery for Patients During Peri-operation Period of Gynecological Laparoscopy

【目的】观察中西医结合快速康复外科(FTS)在妇科腹腔镜围手术期的作用。【方法】将226例行腹腔镜手术患者随机分为试验组(即中西医结合FTS组)和对照组(即传统治疗组)各113例。观察2组术后首次肛门排气时间、下床活动时间、住院时间及术后并发症的发生率。【结果】试验组术后首次肛门排气时间和下床活动时间较对照组早,住院时间较对照组显著缩短(P<0.05);试验组术后并发症发生率为0.9%,显著低于对照组的4.4%(P<0.05)。【结论】中西医结合快速康复外科治疗能促进肠蠕动,缩短肛门排气时间,有效地促进妇科腹腔镜术后胃肠功能的恢复,减少患者术后并发症,加快术后康复进程。

Objective To observe the effect of integrative Chinese and western medicine fast-track rehabilitation in surgery（FTS） for patients during peri-operation period of gynecological laparoscopy. Methods A total of 226 patients receiving gynecological laparoscopic surgery were randomized into observation group and control group,113 cases in each group. The observation group received integrative Chinese and western FTS treatment, and the control group received routine non-surgery treatment. After operation, time for the first post-operation anal gas evacuation, time for out-of-bed activity, hospitalization time, and incidence of post-operation complications were compared between the two groups. Results In the observation group, time for the first post-operation anal gas evacuation and time for out-of-bed activity were earlier, and hospitalization time was shorter than those in the control group（P〈0.05）. The incidence of post-operation complications was 0.9%, lower than 4.4% in the control group（P〈0.05）. Conclusion Integrative Chinese and western medicine fast-track rehabilitation in surgery shows certain effect on promoting enterokinesia, shortening time for the anal gas evacuation, reducing post-operation complications, promoting post-operation recovery of gastrointestinal function of patients receiving gynecological laparoscopy.