快速康复在胃肠手术患者中的应用效果分析

Analysis of the effect of fast track surgery in gastrointestinal surgery

目的探讨快速康复在围手术期胃肠手术患者中应用的优越性及安全性。方法选取本院收治的78例行胃肠手术患者作为研究对象,根据处理方式不同分为对照组和观察组。对照组(n=35)采用传统处理方案,观察组(n=43)采用快速康复方案。比较两组患者术前口渴感、饥饿感评分,术后肠鸣音恢复时间、排气排便时间、住院时间、住院费用及不良反应发生率。结果观察组术前口渴感、饥饿感,术后肠鸣音恢复时间、排气排便时间、住院时间、住院费用及并发症发生率均优于对照组,差异具有统计学意义(P<0.05)。结论快速康复可促进围手术期胃肠手术患者胃肠功能恢复,不增加不良反应发生率,缩短住院天数,降低住院费用,值得临床推广应用。

Objective To explore the superiority and safety of fast track surgery in perioperative period of gastrointestinal surgery.Methods A total of 78 patients undergoing gastrointestinal surgery were randomly divided into control group and observation group.The control group（n=35）used the traditional treatment regimen,and the observation group（n=43）used the rapid rehabilitation program.The preoperative thirst,hunger score,postoperative bowel sounds recovery time,exhaust defecation time,length of stay,hospitalization costs and rate of adverse reaction of the two groups were compared.Results The preoperative thirst,hunger score,postoperative bowel sounds recovery time,exhaust defecation time,length of stay,hospitalization costs and rate of adverse reaction of the observation group were better than those of the control group,differences were statistically significant（P〈0.05）.Conclusion The fast track surgery in gastrointestinal surgery patients can promote gastrointestinal function recovery,do not increase the incidence of adverse reactions,shorten the number of hospital days,reduce hospital costs,and is worthy of clinical application.