快速康复理念在外伤性肝脾破裂患者手术麻醉期管理的应用的探讨.docVIP

快速康复理念在外伤性肝脾破裂患者手术麻醉期管理的应用的探讨 　　【摘要】 目的：总结快速康复的理念在外伤性肝脾破裂患者围手术期液体管理中的应用效果。方法：选取2010年1月-2014年10月新疆农一师阿拉尔人民医院普外科收治的外伤性肝脾破裂手术患者共100例，在患者知情同意的前提下，根据随机数字表的方法分为两组，对照组50例患者给予常规围手术期麻醉管理，观察组50例将快速康复理念应用于围手术期液体管理中，对比两组患者的麻醉相关指标及胃肠道功能恢复时间、平均住院天数、住院费用及术后并发症发生率。结果：观察组患者的苏醒时间、拔管时间均显著低于对照组患者，比较差异有统计学意义（P0.05）；术后1 d与术后5 d，观察组CRP水平均显著低于对照组，比较差异有统计学意义（P0.05）。观察组患者的胃肠道功能恢复时间、平均住院天数、住院费用均低于对照组患者，比较差异有统计学意义（P0.05）；观察组患者有2例出现并发症，显著低于对照组，比较差异有统计学意义（ 字2=4.382，P0.05）。结论：快速康复的理念应用于外伤性肝脾破裂患者围手术期麻醉管理中，临床效果满意，能够加速患者康复的进程。 　　【关键词】 快速康复； 麻醉； 外伤性肝脾破裂； 围手术期； 液体管理 　　The Concept of Rapid Rehabilitation Application in Traumatic Splenic Rupture Patients in the Anesthetic Management in Peri Operation Period/XU Chong-zhi.//Medical Innovation of China，2015，12（16）：022-024 　　【Abstract】 Objective：To summarize the application effect of rapid rehabilitation application concept in traumatic splenic rupture patients in the anesthetic management in peri operation period.Method：From January 2010 to October 2014，in the Xinjiang Nongyishi hospital Alar people admitted the Department of general surgery，100 cases of traumatic rupture of spleen operation，according to the method of random number table were divided into two groups，the patients were informed consent，50 patients in the control group were administered conventional peri operation period nursing，50 cases of the observation group were given the concept of rapid rehabilitation applied to fluid management of peri operation period，index of anesthesia，gastrointestinal function recovery time，mean length of hospital stay，cost of hospitalization and postoperative complication rate of patients in the two groups were compared.Result：The recovery time，pull the groups of patients with tube time of the observation group were significantly lower than the control group patients，there were significant differences （P 　　【Key words】 Rapid rehabilitation； Anesthetic； Traumatic rupture of spleen； Peri operation period； Fluid management 　　First-author’s address：Xinjiang CPL