摘要
目的探讨加速康复外科如何在复杂阑尾炎(CAA)围手术期应用。方法将我科2016年10月至2018年10月内收治的92例CAA患者分成两组(ERAS组,对照组),对照组46例围手术期采用传统外科的处理模式;ERAS组46例围手术期采用加速康复外科(ERAS)处理模式,所有患者均采用腹腔镜阑尾切除术(LA)。观察加速康复在CAA围手术期的完成情况,对比两组的效果及并发症情况。结果ERAS组术后疼痛评分降低(3.60±1.4 d vs 5.20±1.5 d,P=0.000),肠功能恢复更快(21.50±7.5 h vs 29.5±10.0 h,术后不良反应及并发症未增加(P均>0.05),住院时间缩短(4.10±2.9 d vs 7.80±2.2 d,P=0.000),住院费用降低(7800.0±581.7元vs 9917.0±672.5元,P=0.000)。结论CAA围手术期依据个体情况有选择性地采用ERAS是安全、有效的。
Objective To explore the effect of accelerated rehabilitation surgery in the perioperative period of complex acute appendicitis(CAA).Methods Ninety-two patients with CAA admitted in our department from October 2016 to October 2018 were divided into two groups(ERAS,control),in which 46 patientswere assigned to the control group and underwent traditional surgery,while 46 patients received the management based on a standard protocolbased on enhanced recovery after surgery(ERAS)during perioperative period.All patients were treated with laparoscopic appendectomy(LA).The clinical components such as anesthesia,treatment effects,complications were recorded and compared between two groups.Results The accelerated rehabilitation surgery protocolwas well implemented in CAA periop erative period.The ERAS group had lower pain score,faster recovery of intestinal function,less postop erative complications,shorter hospitalization time and lower hospitalization costs.Conclusion It is safe and effective to selectively adopt ERAS in CAA perioperative period according to individual conditions.
作者
陈积义
黄海军
刘仕勇
田桥林
CHEN Jiyi;HUANG Haijun;LIU Shiyong;TIAN Qiaolin(Department of General Surgery,Ren Rui Hospital,Development Zone,Zhanjiang,Guangzhou 524047,China.)
出处
《岭南现代临床外科》
2019年第4期486-489,492,共5页
Lingnan Modern Clinics in Surgery
关键词
复杂性阑尾炎
腹腔镜阑尾切除术
加速康复外科
complex acute appendicitis
laparoscopic appendectomy
enhanced recovery after surgery
