实施加速康复外科理念在肝胆外科手术麻醉中的临床效果分析

Analysis of the Clinical Effect of Implementing the Concept of Accelerated Rehabilitation Surgery in Anesthesia of Hepatobiliary Surgery

目的观察加速康复外科理念应用在肝胆外科手术麻醉中的效果。方法采取随机数字分组法将2017年2—11月在该院接受手术治疗的65例肝胆疾病患者分成对照组32例与观察组33例。分别在麻醉中采取传统方法和加速康复外科理念。对比两组生命指标与术后康复指标。结果观察组在t3和t4时刻的中心静脉压[(7.15±1.52)、(7.05±1.12)cm H_2O]低于对照组,术后进食时间(9.21±2.05)h、下床活动时间(22.15±4.46)h、肛门排气时间(30.25±3.35)h、住院天数(5.59±1.05)d都短于对照组(t=31.24、18.23、27.64、13.07,P<0.05)。结论在肝胆外科手术麻醉中应用加速康复外科理念能够促进术后早日恢复健康。

Objective This paper tries to observe the effect of the concept of accelerated rehabilitation surgery applied in hepatobiliary surgery anesthesia. Methods A total of 65 patients with hepatobiliary disease who were treated by surgery in this hospital from February to November 2017 were divided into the control group of 32 cases and the observation group of 33 cases, taking traditional methods and accelerate the concept of rehabilitation surgery in anesthesia respectively. The life indicators and postoperative rehabilitation indicators of the two groups were compared. Results The central venous pressure in the observation group at t3 and t4 [（7.15±1.52）],（7.05±1.12）]cm H2 O] was lower than that in the control group. Postoperative eating time（9.21±2.05）hours, ambulation time（22.15±4.46）hours, anus exhaust time（30.25±3.35）hours and length of hospital stay（5.59±1.05）days were shorter than those of the control group（ t=31.24,18.23, 27.64, 13.07,P〈0.05）. Conclusion The concept of accelerating rehabilitative surgery in anesthesia for hepatobiliary surgery can promote early postoperative recovery.