快速肠道康复方案在回肠膀胱术患者中的应用

Application of Rapid Bowel Rehabilitation Programme in Laparoscopic Radical Cystectomy

目的观察传统方法与采用快速肠道康复措施对膀胱全切术围手术期患者肠道功能恢复方面的比较。方法比较实验组和对照组患者肠道功能恢复情况及术后住院天数、术后住院费用、有无并发症和再入院率。结果与对照组相比,研究组在肛门排气和排便时间方面缩短,住院天数和住院费用减少(P<0.05),并发症发生率和再入院率对比,两组差异无统计学意义(P>0.05)。结论快速肠道康复方案可改善膀胱全切回肠膀胱术后患者在30 d内肠功能恢复,减少肠道并发症,缩短住院天数和减少住院费用。

Objective To introduce the application of fast bowel rehabilitation in bladder cystectomy and cystectomy, and evaluate the effects of perioperative bowel function recovery. Methods Compared with experimental group and control group, recovery of intestinal function and postoperative hospital stay, postoperative hospital costs, complications and readmission rate. Results There was no significant difference in the general data of the two groups compared with the control group, the study group had significantly shortened the time of exhaust and defecation aspects, length of hospital stay and hospital costs were significantly reduced （P 〈 0.05）, the incidence of complications and readmission rate between the two groups ,was not statistically significant （P 〉 0.05）. Conclusion The application of fast track surgery in intestinal bladder laparoscopie resection is feasible in ileal neobladder, and can improve the recovery within 30 days of intestinal function, reduce intestinal complications, shorten hospitalization time and reduce hospitalization costs.