| 摘要: |
| ［摘要］ 目的 探讨中西医结合加速康复外科技术在肝脏手术围手术期应用的临床效果。方法 80例肝脏手术患者随机分成对照组和治疗组各40例，对照组围手术期采用常规治疗方案；治疗组围手术期采用中西医结合加速康复外科技术。结果 治疗组和对照组手术时间分别为（120±36）min和（115±43）min，两组差异无统计学意义（P>0.05）。治疗组术中出血量为（649±60.4）ml，肠道首次通气时间为（46±16.4）h，术后3 d C反应蛋白（CRP）为（52.4±12.1）mg/L，术后1周白蛋白为(31.2±2.3)g/L，出院时体重降低（1.5±1.1）kg，住院时间为（12.6±2.0）d、住院费用为（3.5±1.3）万元，感染性并发症发生率为5.0%（2/40），对照组指标分别为（680±56.6）ml、（95±12.6）h、（92.5±11.0）mg/L、（27.7±1.6）g/L、（2.8±1.5）kg、（14.4±2.1）d、（4.3±1.1）万元、22.5%(9/40)，两组差异均有统计学意义（P<0.05或<0.01）。结论 中西医结合加速康复外科技术在肝脏外科围手术期应用安全、有效、经济，显著加速患者术后的康复。 |
| 关键词: 加速康复外科 肝脏手术 中西医结合 围手术期 |
| DOI：10.3969/j.issn.1674-3806.2015.02.09 |
| 分类号:R 61 |
| 基金项目: |
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| Clinical study on application of the combination of traditional Chinese and western medicine based fast track surgery in perioperative period of liver surgery |
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CHEN Sheng-gui, HUANG Qiong-fang, LI-Jin, et al.
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Department of Hepatobiliary Surgery, Affiliated Hospital of Panzhihua College, Sichuan 617000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical therapeutic effect of application of the combination based traditional Chinese and western medicine fast track surgery(CCWFTS) in perioperative period of liver surgery.Methods Eighty patients receiving liver surgery in our hospital from January 2010 to March 2014 were divided into the control group and the treatment group, 40 cases in each group. The control group was treated by the conventional treatment of western medicine in perioperative period of liver operation. The treatment group was treated by CCWFTS in perioperative period of liver surgery.Results The operation time was (120±36)min in the treatment group, and (115±43)min in the control group. The difference between the treatment group and the control group was not statistically significant(P>0.05). In the treatment group, the amount of bleeding was (649±60.4)ml, the time of first intestinal ventilation was (46±16.4)h, the CRP after 3 d was (52.4±12.1)mg/L,the albumin after a week was (31.2±2.3)g/L, the weight loss in discharge was (1.5±1.1)kg, the length of stay was (12.6±2.0)d, the hospitalization expense was (35000±13000)yuan(RMB), the rate of infectious complications was 5.0%（2/40）,and those in the control group were (680±56.6)ml,(95±12.6)h,(92.5±11.0)mg/L,(27.7±1.6)g/L,(2.8±1.5)kg,(14.4±2.1)d,(43000±11000)yuan(RMB), 22.5%(9/40).The differences between the treatment group and the control group were statistically significant（P<0.05 or P<0.01）.Conclusion The combination of CCWFTS in perioperative period of liver surgery is safe, effective and economical. It can speed up the postoperative recovery of the patients significantly. |
| Key words: Fast track surgery Liver surgery Combination of Chinese traditional and western medicine Perioperative period |
