加速康复外科理念在基层医院腹腔镜胆囊切除应用的探讨

Clinical value of application of enhanced recovery after surgery(ERAS)on laparoscopic cholecystectomy(LC)in primary level hospital

目的探讨加速康复外科理念(ERAS)在基层医院应用于腹腔镜胆囊切除(LC)的临床价值。方法选取某医院78例胆囊结石患者,根据是否应用ERAS分为ERAS组和常规LC组。ERAS组38例术前及术后采用ERAS处理模式,常规LC组40例术前及术后采用常规处理模式;比较两组患者术后首次饮水时间、肛门排气时间、术后镇痛时间、下床活动时间、住院时间及手术并发症发生率差异。结果ERAS组患者术后首次饮水、肛门排气时间、下床活动时间及住院天数均少于常规LC组(t值分别为4.22、3.51、2.44和4.12;P均<0.05)。结论在基层医院应用ERAS理念,可明显加速患者术后康复及减少住院时间。

Objective To investigate the clinical value of application of enhanced recovery after surgery(ERAS)on laparoscopic cholecystectomy(LC)in primary level hospital.Methods From July 2017 to December 2019,the clinical data of 78 cases of the calcu lus cholecystitis in our department were reviewed,and these cases were divided into ERAS group and LC group based on the way they were been treated.38 casas of ERAS group were managed with ERAS while the 40 casas of the LC group were managed with convention al method.After the operation,the first drinking time,the first exhausting time,the walking activity time,incidence of complication and hospitalization time of the two groups were compared.Results The first drinking time,the first exhausting time,the walking activity time,hospitalization time in the ERAS group were significantly shorter than that in the LC group(t=4.22,3.51,2.44,4.12,respectively,all P value<0.05.Conclusion In primary level hospital,application of ERAS in the LC can obviously accelerate postoperative rehabili tation and reduce hospitalization time.