快速康复外科在腔镜甲状腺手术中的应用-普通外科学专业论文.docxVIP

快速康复外科在腔镜甲状腺手术中的应用 快速康复外科在腔镜甲状腺手术中的应用 硕士学位论文 快速康复外科在腔镜甲状腺手术中的应用 摘要 目的探索快速康复外科对于腔镜甲状腺手术的意义。 方法回顾性分析2013．05．01至2016．02．29在我科住院的甲状腺病人 资料。根据纳入标准及排除标准选择病例，分为两组，即对照组和实验组。 对照组采用传统围手术期管理下腔镜一叶次全切除术，实验组采用快速康 复外科措施下的腔镜甲状腺一叶次全切除术。比较C．反应蛋白浓度、白细 胞计数、疼痛分数、体温、住院总费用和术后住院时间。采用SPSSl9．0 软件对数据结果分析，P0．05认为差异有统计学意义。 结果45例病例纳入本研究，其中实验组21例，对照组24例。实验 组术后第一天C一反应蛋白浓度、白细胞计数、体温升高幅度低于对照组。 实验组术后第一天及术后第二天疼痛分数低于对照组，术后第三天无明显 差异。在住院总费用方面，实验组费用低于对照组。实验组与对照组在术 后住院时间上不具有统计学差异。 结论本研究提示，把快速康复外科理念应用于腔镜甲状腺手术的围手 术期管理可减轻应激反应，促进患者术后康复。具体表现在快速康复外科 管理模式可降低腔镜甲状腺手术患者术后CRP、白细胞计数和体温的升高 幅度，减轻患者术后疼痛，并可降低住院费用，但对术后住院时间没有影 响。 关键词快速康复外科，腔镜，良性甲状腺结节，甲状腺一叶次全切除术 万方数据 快速康复外科在腔镜甲状腺手术中的应用 快速康复外科在腔镜甲状腺手术中的应用 硕士学位论文 APPLLICATION OF FAST TRACK SURGERY IN SUB TOTAL THYROIDECTOMY BY LAPIAROSCOPE AB STRACT OBJECTIVE To investigate the meaning of the fast track surgery applying to thyroid operation by laparoscope． METHODS The clinical datas of thyroid gland patients who hospitalized from May．20 1 3 to february．20 1 6 were collected．The patients who were choiced by include and rule standards were divided into two groups， experimental group and control group．The experimental group were operated with the measures of fast track surgery,and the control group were operated with the tradition measures．The concentration of CRP(ahead of operation、first day after operation)、the count ofwhite blood cell、pain scores、body temperature、 time of out of hospital、hospital costs were recorded．The SPSS 1 9．0 was used to analyze the results，and it is significant if the P is less than O．05． RESULTS There were 45 patients in the research．The experimental group have 2 1 patients and control group have 24 patients．The oncentration of CRP、 the count of white blood cell、body temperature．The pain scores of experimental group is less than control group in first and second day and it is same in the third day．The time of out of hospital of experimental group is the same with the control group．The costs of experimental group is less than control group． CONCLUSION Th