目的:探讨基于加速康复外科(enhanced recovery after surgery,ERAS)理念的主动训练方案对腹腔镜肝癌切除术后患者胃肠道功能的影响。方法:选取2020年8月至2023年3月广州医科大学附属第二医院收治的44例行腹腔镜肝癌切除术患者,按照随...目的:探讨基于加速康复外科(enhanced recovery after surgery,ERAS)理念的主动训练方案对腹腔镜肝癌切除术后患者胃肠道功能的影响。方法:选取2020年8月至2023年3月广州医科大学附属第二医院收治的44例行腹腔镜肝癌切除术患者,按照随机数字表法分为对照组和试验组,各22例。对照组采用常规护理,试验组在常规护理的基础上应用基于ERAS理念的主动训练方案,对比两组患者术后胃肠道功能恢复的相关指标、疼痛评分及术后并发症发生情况。结果:两组患者性别及年龄等一般资料比较差异均无统计学意义(均P>0.05)。试验组患者术后肠蠕动恢复时间、首次排气时间、首次排便时间、首次进食时间及住院时间均短于对照组,术后疼痛程度低于对照组,腹胀发生率低于对照组,以上差异均具有统计学意义(均P<0.05);两组患者出血及胆漏的发生率比较差异均无统计学意义(均P>0.05)。结论:应用基于ERAS理念的主动训练方案,可以加快腹腔镜肝癌切除术后患者胃肠道功能的恢复,促进患者术后康复。展开更多
In the last decades, a trend towards a worldwide aging has been reported and diseases which are common in the elderly people would have important implications in clinical practice. Aortic stenosis （AS） is perhaps th...In the last decades, a trend towards a worldwide aging has been reported and diseases which are common in the elderly people would have important implications in clinical practice. Aortic stenosis （AS） is perhaps the most common and most often cause of sudden death among valvular heart diseases. Its prevalence is low among adults aged 〈 60 years, but increases to almost 10% in adults ≥ 80 years.[2] Since the degenerative calcific disease represents the lead- ing cause of AS in developed countries, the improved understanding on its pathogenesis （atherosclerotic processes and/or skeleton key） may offer potentially new targets for preventing and inhibiting AS development and progres- sion.[3] Patients with AS are generally asymptomatic for a prolonged period and the development of symptoms is a critical point in the natural history. Indeed, the prognosis changes dramatically with the onset of symptoms of angina,展开更多
文摘目的:探讨基于加速康复外科(enhanced recovery after surgery,ERAS)理念的主动训练方案对腹腔镜肝癌切除术后患者胃肠道功能的影响。方法:选取2020年8月至2023年3月广州医科大学附属第二医院收治的44例行腹腔镜肝癌切除术患者,按照随机数字表法分为对照组和试验组,各22例。对照组采用常规护理,试验组在常规护理的基础上应用基于ERAS理念的主动训练方案,对比两组患者术后胃肠道功能恢复的相关指标、疼痛评分及术后并发症发生情况。结果:两组患者性别及年龄等一般资料比较差异均无统计学意义(均P>0.05)。试验组患者术后肠蠕动恢复时间、首次排气时间、首次排便时间、首次进食时间及住院时间均短于对照组,术后疼痛程度低于对照组,腹胀发生率低于对照组,以上差异均具有统计学意义(均P<0.05);两组患者出血及胆漏的发生率比较差异均无统计学意义(均P>0.05)。结论:应用基于ERAS理念的主动训练方案,可以加快腹腔镜肝癌切除术后患者胃肠道功能的恢复,促进患者术后康复。
文摘In the last decades, a trend towards a worldwide aging has been reported and diseases which are common in the elderly people would have important implications in clinical practice. Aortic stenosis （AS） is perhaps the most common and most often cause of sudden death among valvular heart diseases. Its prevalence is low among adults aged 〈 60 years, but increases to almost 10% in adults ≥ 80 years.[2] Since the degenerative calcific disease represents the lead- ing cause of AS in developed countries, the improved understanding on its pathogenesis （atherosclerotic processes and/or skeleton key） may offer potentially new targets for preventing and inhibiting AS development and progres- sion.[3] Patients with AS are generally asymptomatic for a prolonged period and the development of symptoms is a critical point in the natural history. Indeed, the prognosis changes dramatically with the onset of symptoms of angina,
