摘要
目的:系统评价快速康复理念在腹腔镜胆囊切除围手术期应用的临床效果。方法:检索各数据库中有关腹腔镜胆囊切除术应用快速康复理念的随机对照试验文献,检索时间截止至2012年7月。进行试验筛选、资料提取、质量评价和Meta分析。结果:共纳入8个研究的1 060位患者,快速康复组相比传统组能减少住院时间(MD=-2.36,95%CI=-3.47^-1.25)(P<0.01),缩短术后首次排气时间(SMD=-3.04,95%CI=-4.92^-1.16)(P<0.01),降低肺部感染的发生率(OR=-0.20,95%CI=0.05~0.79)(P=0.02),降低住院费用。结论:应用快速康复外科理念能明显加快腹腔镜胆囊切除术后患者的康复,值得深入研究和临床推广。
Objective： To systematically review the clinical efficacy of using fast-track surgery（FTS） in perioperative management of laparoscopic cholecystectomy. Methods： The literature concerning randomized controlled trials of laparoscopic cholecystectomy using FTS principles in online databases was retrieved.Data collection ended in July 2012.Then the literature was screened,data of the studies were extracted,qualities of the studies were evaluated and Meta analysis was performed. Results： A total of 8 studies with 1 060 patients were included.Compared with conventional group,FTS group had reduced length of hospital stay（MD=–2.36,95%CI=–3.47— –1.25）（P〈0.01）,time to first postoperative passage of flatus（SMD=–3.04,95%CI=–4.92— –1.16）（P〈0.01） and incidence of lung infections（OR=–0.20,95%CI=0.05–0.79）（P=0.02） as well as decreased hospital charges. Conclusion： FTS can enhance the rehabilitation of patient undergoing laparoscopic cholecystectomy.It deserves further investigation and spreading in clinical practice.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2012年第9期1110-1115,共6页
China Journal of General Surgery
