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    马红钦, 王骥, 赵文星. 快速康复外科在腹腔镜食管裂孔疝修补围手术期的应用[J]. 徐州医科大学学报, 2017, 37(11): 754-756.
    引用本文: 马红钦, 王骥, 赵文星. 快速康复外科在腹腔镜食管裂孔疝修补围手术期的应用[J]. 徐州医科大学学报, 2017, 37(11): 754-756.
    MA Hongqin, WANG Ji, ZHAO Wenxing. Application of fast track surgery in the perioperative period of laparoscopic repair of esophageal hiatal hernia[J]. Journal of Xuzhou Medical University, 2017, 37(11): 754-756.
    Citation: MA Hongqin, WANG Ji, ZHAO Wenxing. Application of fast track surgery in the perioperative period of laparoscopic repair of esophageal hiatal hernia[J]. Journal of Xuzhou Medical University, 2017, 37(11): 754-756.

    快速康复外科在腹腔镜食管裂孔疝修补围手术期的应用

    Application of fast track surgery in the perioperative period of laparoscopic repair of esophageal hiatal hernia

    • 摘要: 目的评价快速康复外科(FTS)在腹腔镜食管裂孔疝修补围手术期的应用效果。方法76例行腹腔镜食管裂孔疝修补术的患者随机分为FTS组和传统治疗组,每组38例,FTS组围手术期采用快速康复方案处理,传统治疗组接受传统的围手术期方案处理,比较2组患者术后疼痛程度、首次进食时间、排气时间、术后住院时间、并发症及术后24 h C反应蛋白、白细胞水平的差异。结果2组患者均顺利完成手术,痊愈出院。FTS组患者术后疼痛评分、术后首次进食时间、排气时间和术后住院时间均短于传统治疗组(P<0.01),FTS组术后24 h白细胞、C反应蛋白水平均低于传统治疗组(P<0.05),2组总的并发症发生率无明显差异(P>0.05)。结论快速康复外科在腹腔镜食管裂孔疝修补围手术期应用安全有效,可加速患者术后康复,缩短住院时间,临床值得推广应用。

       

      Abstract: ObjectiveTo evaluate the safety and efficacy of fast track surgery (FTS) in the perioperative period of laparoscopic repair of esophageal hiatal hernia. MethodsA total of 76 patients undergoing laparoscopic repair of esophageal hiatal hernia were randomized into a fast track surgery group and a conventional treatment group (n=38). The two groups were compared for postoperative pain, the time of first diet taking, postoperative flatus time, postoperative hospitalization stay, complications, and the levels of C-reactive protein and white cell counts. ResultsAll patients successfully underwent surgery and discharged. The FTS group showed remarkable decreases in the scores of postoperative pain, the time of first diet taking, postoperative flatus time and postoperative hospitalization stay compared with the conventional group (P<0.01). The levels of C-reactive protein and white cell counts were also lower in the FTS group than those in the conventional group (P<0.05). No statistical difference was found in complications between the two groups. ConclusionsFTS is safe and effective in the perioperative period of laparoscopic repair of esophageal hiatal hernia, which can accelerate postoperative rehabilitation, shorten postoperative hospitalization stay.

       

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