术后加速康复理念在肝胆管结石病围手术期中的临床研究

Clinical study on the enhanced recovery after surgery concept in the perioperative period of hepatolithiasis

目的:探索术后加速康复(ERAS)理念在肝胆管结石病围手术期的临床应用。方法:收治肝胆管结石病患者346例,随机分为ERAS组和对照组。比较两组术后疼痛程度、自行排小便例数、肛门排气时间、住院时间、并发症、住院费用。结果:ERAS组术后疼痛评分和肛门排气时间明显少于对照组(P<0.01),术后住院时间和住院费用低于对照组(P<0.01),术后自行排小便例数多于对照组(P<0.01)。结论:ERAS理念在肝胆管结石病围手术期可减轻术后疼痛,促进患者自行排小便和胃肠功能恢复,加速患者康复,缩短住院时间及降低费用。

Objective:To explore the clinical application of enhanced recovery after surgery(ERAS) concept in the perioperative period of hepatolithiasis.Methods:346 patients with hepatolithiasis were selected.They were randomly divided into the enhanced recovery after surgery group and the control group.The postoperative pain degree,spontaneous urination,anal exhaust time, hospitalization time,complications and hospitalization costs were compared between groups.Results:The postoperative pain score and anal exhaust time of the ERAS group were significantly lower than those of the control group(P<0.01);the hospitalization time and hospitalization cost were lower than those of the control group(P<0.01);the number of patients with spontaneous urination was higher than that of the control group(P<0.01).Conclusion:The ERAS concept in the perioperative period of hepatolithiasis can reduce the postoperative pain,promote the spontaneous urination and gastrointestinal function recovery of patients,accelerate the recovery of patients,shorten the hospitalization time and reduce the cost.