快速康复外科理念在肝硬化门静脉高压症患者初步应用的对照研究.PDFVIP

·论著· 快速康复外科理念在肝硬化门静脉高压症 患者初步应用的对照研究 许长起 武阿丽 张建雷 刘哲 【摘要】 目的评价围手术期快速康复外科理念在肝硬化门静脉高压症患者初步应用的临床效 果。方法根据入选标准，42例肝硬化门脉高压症患者进入研究并随机分为快速康复外科理念初步 应用研究组(21例)和传统方法对照组(21例)。比较两组患者术后首次排便时间、术后住院时间、住 院总费用和术后并发症的发生率。结果 研究组术后首次排便时间显著早于对照组(P一0．0287)； 术后住院时间显著短于对照组(P一0．002)；住院总费用显著少于对照组(P一0．ooo)。研究组与对照 组并发症的发生率分别为7．15％和21．5％，差异有统计学意义(P一0．001)。结论围手术期快速 康复外科理念的应用可以加快肝硬化门脉高压症患者术后康复，缩短术后住院时间，降低医疗费用， 减少并发症。 【关键词】肝硬化； 门静脉高压； 快速康复外科； 并发症 Fast-trackforcirrhotic with XU surgery patientsportalhypertension：acomparativestudyChang—qi+， WUA—h，zHANG General Jian—Iei，LIUZhe．’Departmentof Surgery，theGuangmingHospital of 252000，P．R．China Liaocheng，Liaocheng Correspondingauthor：XUChang—qi，E-mail：xuchangqi721@163．com To theeffectofafast-track ontheclinical [Abstract]Objectivestudy surgery(FTS)program outcomesincirrhotic with 42cirrhotic with patientsportalhypertension．Methodspatientsportalhy— were allocatedintotheFTS theconventionalcontr01 pertensionrandomly group(n一21)and therapy timetofirst cOSt，and defecation，hospital group(恕一21)．Thepostoperative stay，hospitalization were betweenthetwo withthecon— postoperativecomplicationscompared groups．ResultsCompared trol timetofirstdefecationwas shorterintheFTS group，thepostoperative significantly group inthe (P一0．0287)．Furthermore，the was shorter FTS postoperativehospitalstay significantly thanthecontrol costwas lowerin group group(P=0．002)．Additionally，hospitalizationsignificantly theFTS thanthecontrol wasalso