快速康复外科理念在急腹症腹腔镜手术中的应用效果

Application of Fast Track Surgery in Laparoscopic Surgery for Acute Abdomen

目的探讨快速康复外科(FTS)理念在急腹症腹腔镜手术中应用的安全性、可行性及有效性。方法将400例急腹症患者按围术期处理措施不同分为观察组(200例)与对照组(200例),2组患者均在全身麻醉下行腹腔镜手术治疗,观察组采用快速康复外科理念优化围术期处理措施,对照组采用传统围术期处理措施。比较2组术后肛门排气时间、进食时间及住院时间、住院费用与术后并发症(尿路感染、肺部感染、下肢静脉血栓、腹胀、腹腔脓肿、肠瘘、肩背部酸痛)发生情况。结果与对照组比较,观察组术后肛门排气时间、进食时间、住院时间、住院费用及术后尿路感染、肺部感染、下肢静脉血栓、肩背部酸痛等并发症发生率均显著减少(P<0.05)。结论 FTS在急腹症腹腔镜手术中的应用是安全、可行、有效的,能缩短住院时间,减少住院费用。

Objective To investigate the safety, feasibility and effectiveness of fast track sur- gery（FTS） in laparoscopic surgery for acute abdomen. Methods Four hundred patients with a-cute abdomen were treated with laparoscopic surgery under the general anesthesia,and were given perioperative management with either FTS（observation group,n = 200） or conventional measures （control group , n = 200）. Postoperative anal exhaust time, eating time, hospital stay, hospitaliza-tion costs and complications（urinary tract infection, pulmonary infection, lower limb vein throm-bosis, abdominal distension, abdominal abscess, intestinal fistula, shoulder and back pain） were compared between the two groups. Results Compared with control group, postoperative anal ex-haust time, eating time, hospital stay, hospitalization costs, and incidences of urinary tract infec-tion, pulmonary infection, lower limb vein thrombosis and shoulder and back pain significantly de-creased in observation group（P 〈0. 05）. Conclusion FTS is safe,feasible and effective in laparo-scopic surgery for acute abdomen. It can shorten hospital stay and reduce hospitalization costs.