引用本文:刘持旺.快速康复外科理念在痔疮患者围手术期中的应用体会[J].中国临床新医学,2015,8(9):814-817.
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快速康复外科理念在痔疮患者围手术期中的应用体会
刘持旺
274300 山东,菏泽家政职业学院外科教研室
摘要:
[摘要] 目的 观察快速康复外科理念在痔疮患者围手术期中的应用效果。方法 选取混合痔患者78例,随机分为观察组(n=40)与对照组(n=38),观察组围手术期处理应用快速康复外科技术(FTS),对照组围手术期处理采用传统方法,比较两组的手术情况及术后康复情况。结果 观察组手术时间长于对照组(t=2.189,P<0.05),术中出血量少于对照组(t=2.974,P<0.05),术后并发症少于或轻于对照组(P<0.05),创面愈合时间、住院时间、治疗费用短于或少于对照组(P<0.05),临床疗效优于对照组(χ2=2.596,P<0.05)。结论 在混合痔围手术期应用FTS方案,利于减少及减轻术后并发症,利于患者术后康复。
关键词:  快速康复外科  混合痔  围手术期  体会
DOI:10.3969/j.issn.1674-3806.2015.09.04
分类号:R 657.1+8
基金项目:山东省高校科技计划资助项目(编号:J11LF84)
Application of fast track surgery on the patients with mixed hemorrhoids in the perioperative period
LIU Chi-wang
Department of Surgery Teaching, Heze Domestic Vocational College, Shangdong 274300, China
Abstract:
[Abstract] Objective To investigate the effect of fast track surgery(FTS) on the patients with mixed hemorrhoids in the perioperative period.Methods 78 patients with mixed hemorrhoids were randomly divided into two groups: the observation group(n=40) and the control group(n=38). The control group was treated with conventional methods, while the observation group was treated with fast track surgery in the perioperative period. Both groups were compared in terms of operation and postoperative rehabilitation.Results Compared with the control group, the FTS group had longer operative time(t=2.189, P<0.05). The FTS group was better than the control group in less blood loss(t=2.974, P<0.05), fewer postoperative complications(P<0.05). There were significant differences in wound healing time, duration of hospitalization, hospital costs(P<0.05) and clinical effect(χ2=2.596, P<0.05), and better outcome was seen in the observation group.Conclusion Fast track surgery in perioperative period of mixed heorrhoids can reduce the complications, being helpful for the patients postoperative recovery.
Key words:  Fast track surgery(FTS)  Mixed hemorrhoids  Perioperative period  Application