快速康复外科在剖宫产围术期中的应用

Application of fast-track surgery on perioperative period of cesarean delivery

目的探讨快速康复外科(FTS)在产科剖宫产围术期的应用效果。方法选取2016年6月至2017年6月在宁夏医科大学总医院产科足月妊娠行剖宫产手术的患者120例,以病房为单位1~16病房剖宫产患者(68例)分为干预组,应用FTS治疗;17~34病房剖宫产患者(52例)分为对照组,采用传统围术期治疗。对比观察两组患者术后并发症、首次排气及通便时间、住院时间及费用等指标差异。结果两组患者均康复出院,FTS组患者术后尿潴留和有膀胱刺激征例数、肠鸣音恢复时间(14.26±2.34)h和通便恢复时间(2.19±0.52)d均低于对照组,且平均住院时间(4.07±0.44)d和平均住院费用(4815元)也显著低于对照组,差异有统计学意义(P<0.05)。结论FTS在剖宫产围术期的应用可降低患者术后并发症发生率,促进肠道功能恢复,缩短患者住院时间。

Objective To investigate the effect of fast-track surgery onthe perioperative period of cesarean delivery. Methods A total of 120 full-term pregnancy patients with cesarean delivery from June 2016 to June 2017 in General Hospital of Ningxia Medical University were collected.Patients with caesarean delivery in wards 1 to 16 (68 cases) were the intervention group with FTS treatment.Patients with caesarean delivery in wards 17 to 34 (52 cases) were the control group with traditional perioperative treatment.Numbers of patients with postoperative complications,first exhaust and defecation time,hospital stays and hospitalization cost were compared between the two groups. Results Patients in both groups were recovered and discharged.Numbers of pationts with postoperative uroschesis and bladder trritation,recovery time of bowel sounds [(14.26±2.34) h] and defecation recovery time [(2.19±0.52) d] of the FTS group were lower than those of the control group,and the average hospital stays [(4.07±0.44) d] and average hospitalization cost (4 815 yuan) were also significantly lower than those in the control group,with statistically significant differences (P < 0.05 ). Conclusion FTS on the perioperative period of cesarean delivery can reduce the rate of postoperative complications,promote intestinal function recovery,and shorten hospital stays.