摘要
目的探讨快速康复外科(fast-track surgery,FTS)在中西医结合治疗老年患者上消化道穿孔围手术期处理的安全性、可行性及有效性。方法回顾性分析2008年8月至2014年8月本院收治的上消化道穿孔并行单纯修补术患者52例,按传统围术期处理(传统组)28例和快速康复理念联合中西医结合治疗24例(FTS组),观察术后首次排气排便时间、腹胀情况、肺部感染等临床指标及并发症情况等。结果 FTS组与传统组比较,术后首次排气排便时间提前,住院时间缩短,两组患者具有统计学意义(P<0.05)。FTS组肺部感染发生率明显下降(P<0.05),两组患者术后切口感染率无统计学意义(P>0.05)。两组均无再穿孔、深静脉血栓或死亡病例。结论快速康复理念联合中西医结合治疗在急诊上消化道穿孔修补术围术期的应用是安全、可行、有效的。
Objective To investigate the safety,feasibility and effectiveness of fast-track surgery（ FTS）combined with traditional Chinese and western medicine treatment for upper gastrointestinal perforation in elderly patients of perioperative period. Methods Retrospective analysis was carried out in 52 patients with upper gastrointestinal perforation from August 2008 to August 2014. All the cases were divided into two groups,with28 cases received traditional perioperative treatment,and another 24 cases received FTS combined with traditional Chinese and western medicine. The postoperative recovery of gastrointestinal function and complications were observed. Results Compared with traditional perioperative treatment group,the FTS group showed better recovery of gastrointestinal function,shorter hospitalization stay,and less pulmonary infection rate（ P 〈0. 05）.But the incision infection rates of the two groups had no statistical significance（ P 〉0. 05）. No deep vein thrombosis,nor mortality happened. Conclusion It is safe,feasible and effective of the FTS combined with traditional Chinese and western medicine treatment for the digestive tract perforation in elderly patients during the perioperative period.
出处
《中国现代手术学杂志》
2015年第2期81-83,共3页
Chinese Journal of Modern Operative Surgery
关键词
快速康复外科
中西医结合治疗
上消化道穿孔
老年人
fast-track surgery integrated traditional and western medicine upper gastrointestinal perforation aged
