临床麻醉在快速康复外科的应用研究

Application of clinical anesthesia in rapid rehabilitation surgery

选取道外区人民医院2017年4月—2018年2月接收的89例快速康复外科患者作为研究对象,随机分为观察组与对照组。对照组患者在康复期间给予常规麻醉处理,观察组患者给予快速康复中的麻醉处理。观察组患者术后恢复时间(12.25±1.35)h、住院时间(7.23±1.64)h、住院费用(2.41±0.48)万元;对照组患者术后恢复时间(22.75±1.28)h、住院时间(13.81±1.24)h、住院费用(3.92±0.18)万元;观察组患者围术期各项指标明显优于对照组患者;观察组患者并发症发生4例,对照组患者并发症发生11例;观察组患者并发症发生率8.8%,明显低于对照组的25%;麻醉前,两组患者围术期各项生活质量无明显差异(P>0.05);麻醉后,观察组患者生理职能、情绪职能、角色职能、心理健康明显优于对照组,两组患者之间差异显著(P<0.05)。针对快速康复外科患者,在康复过程中,给予康复外科临床麻醉治疗,临床麻醉效果显著,有效减轻患者疼痛,促进患者预后。

Thirty-eight patients undergoing rapid rehabilitation surgery from April 2017 to February 2018 in Daoyuan District People＇s Hospital were selected as subjects and randomly divided into observation group and control group.Patients in control group were given routine anesthesia during rehabilitation and patients in observation group were given anesthesia for rapid recovery. The postoperative recovery time（ 12. 25 ± 1. 35） h,hospitalization time（ 7. 23 ± 1. 64） h,and hospitalization cost（ 2. 41 ± 0. 48） million yuan were observed in observation group,and postoperative recovery time（ 22. 75 ± 1. 28） h and hospital stay time in control group（ 13. 81 ± 1. 24） h and hospitalization cost（ 3. 92 ± 0. 18）million yuan; the perioperative indicators of observation group were significantly better than those of the control group;complications occurred in 4 patients in observation group,and 11 complications occurred in control group. The incidence of complications in observation group was 8. 8% ,which was significantly lower than that of the control group 25% ; before anesthesia,there was no significant difference in the life quality during the perioperative period between two groups（ P〉0. 05）; after anesthesia,the physiological function,emotional functions,role functions,and mental health of the observation group were significantly better than those in the control group. There was a significant difference between two groups（ P〈0. 05）. For patients with rapid rehabilitation surgery,clinical anesthesia for rehabilitation surgery is given in the rehabilitation process. The clinical anesthetic effect is significant,which can effectively relieve pain and promote the prognosis of patients.