摘要
目的探究肝切除术患者不置胃管行胃肠减压并早期进食的可行性。方法选择2016年12月—2018年4月间,在我院行择期肝叶切除术的104例患者为观察对象,按照数字表发随机分为两组,其中对照组给予传统方法处理,观察组则按照ERAS理念处理,比较两组患者术后肛门排气时间、住院时间、住院费用及不良后果发生情况。结果观察组患者术后肛门排气时间、住院时间明显短于对照组(P<0.05),住院费用及不良后果总发生率也显著低于对照组(P<0.05)。结论肝切除患者术后按照ERAS理念不置胃管行胃肠减压术并早期进食,可加快肝叶切除术后病人胃肠道的恢复速度,提高康复效果,建议推广应用。
Objective To explore the feasibility of gastric decompression and early feeding in patients with hepatectomy.nethods Choose between December 2016 to April 2016,104 patients undergoing elective liver resection in our hospital for observation object,There are two groups randomly assigned to the digital table,the control group given conventional methods,observation group according to the concept of ERAS,comparing two groups of patients with postoperative anal exhaust time,length of hospital stay, hospital expenses and bad consequence is happening.Results The observation group of patients with postoperative anal scheduling time,hospitalization time significantly shorter than the control group (P〈0.05), hospitalization expenses and the total incidence of adverse outcome was also significantly lower than control group (P〈0.05).Conclusion According to the concept of ERAS postoperatively in patients with liver resection did not stomach tube line early gastrointestinal decompression and eating, can increase the recovery rate of liver resection patients after the gastrointestinal tract, improve the effect of rehabilitation, suggest the popularization and application.
出处
《基层医学论坛》
2018年第6期725-726,共2页
The Medical Forum
基金
江西省卫生计生委科技计划(20175279)