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快速康复外科在老年腹股沟疝术中的应用 被引量:10

The Application of Fast Track Surgery in Aged Patients with Inguinal Hernia
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摘要 目的对比快速康复外科(FTS)和传统方法治疗老年腹股沟疝患者的临床效果。方法将92例老年腹股沟疝患者按就诊时间分为两组:FTS组采用FTS治疗,对照组采用传统方法。对比两组患者术后首次通气时间、腹胀发生率、住院费用及术后住院时间等指标。结果FTS组患者住院费用为(2230±389)元,对照组为(2948±520)元;FTS组患者术后住院时间为(5.05±1.28)d,对照组为(7.10±2.70)d,差异均有统计学意义(P<0.05)。两组患者首次通气时间、术后进食时间、下床活动时间间差异均有统计学意义(P<0.05),但两组患者术后腹胀发生率间差异无统计学意义(P>0.05)。结论应用FTS理念治疗,老年腹股沟疝患者术后康复加快,术后住院时间缩短,住院费用减少。 Objective To compare therapeutic results of fast - track surgery (FTS) and conventional care in aged patients with inguinal hernia (IH). Methods Ninety - two aged IH patients were separated into 2 groups according to treatment time. FTS group were given FTS, control group traditional treatment. The time of the first flatus, bloating incidence, hospital charges, postoperative hospital stay were compared between 2 groups. Results Hospital charges were lower in FTS group (2 230 ±389 yuan) than in control (2 948 ±520 yuan) (P 〈0. 05). There was significant difference in time of first flatus, postoperative feeding, ambulation between 2 groups (P 〈0.05), but not in abdominal distension (P 〉0.05). Conclusion FTS can accelerate postoperative recovery, shorten hospital stay and reduce hospital costs.
出处 《中国全科医学》 CAS CSCD 北大核心 2009年第24期2224-2225,共2页 Chinese General Practice
关键词 快速康复外科 腹股沟疝 老年人 Fast track surgery Inguinal hernia Aged
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