快速康复模式在腹腔镜肝切除围手术期中的应用

Application of Fast-track Surgery in the Perioperative Period of Laparoscopic Hepatectomy

目的浅析快速康复模式(fast-track surgery,FTS)在腹腔镜肝切除围手术期中的应用。方法选取2018年1月—2019年12月本院30例腹腔镜肝切除患者,采用随机数字表法分为两组,各15例。A组采取快速康复模式,B组采取传统处理策略。评价两组干预效果。结果 A组患者术中及术后指标值均优于B组,差异均有统计学意义(P<0.05)。A组并发症发生率低于B组,但比较差异无统计学意义(P> 0.05)。结论腹腔镜肝切除围手术期中应用快速康复模式可促进患者术后康复,促进胃肠功能恢复,加快早期拔管,减少住院时间。

Objective To analyze the application of fast-track surgery(FTS)in the perioperative period of laparoscopic hepatectomy.Methods A total of 30 patients with laparoscopic hepatectomy form January 2018 to December 2019 in our hospital were randomly divided into two groups according to the number table method,15 cases in each group.Group A adopted rapid rehabilitation mode,group B adopted traditional treatment strategy.The intervention effect of the two groups were evaluated.Results The intraoperative and postoperative indexes in group A were better than those in group B,the differences were statistically significant(P<0.05).The incidence of complications in group A was lower than that in group B,and there was no statistically significant(P>0.05).Conclusion The laparoscopic hepatectomy can promote the postoperative recovery and gastrointestinal function recovery,and shorten the extubation time and hospital stays.