摘要
目的:探讨中医外治技术联合快速康复外科(ERAS)理念促进肝胆外科患者康复的临床疗效。方法:选择于2018年8月—2020年10月在我科行腹腔镜手术的患者308例,随机分为外治组156例,对照组152例。对照组行腹腔镜手术+ERAS理念,外治组在前者基础上加用中医外治技术,比较两组患者在术后肠鸣音恢复、肛门首次排气及排便时间、疼痛评分、住院天数、相关并发症等方面的差异。结果:外治组术后肠鸣音恢复、肛门首次排气排便时间均短于对照组(P<0.05),术后疼痛评分低于对照组(P<0.05),行肝脏手术及胰腺手术患者的住院时间均短于对照组(P<0.05)。但两组相关并发症发生率差异无统计学意义(P<0.05)。结论:中医外治技术联合ERAS理念在肝胆外科围手术期的应用能减轻术后患者的疼痛,促进胃肠道功能的恢复,缩短住院时间,值得临床推广应用。
Objective To explore the clinical efficacy of TCM external treatment combined with enhanced recovery after surgery to promote the rehabilitation of hepatobiliary surgery patients.Methods 308 patients selected of hepatobiliary surgery were randomly divided into 156 cases in the external treatment group and 152 cases in the control group.The control group received laparoscopic surgery and enhanced recovery after surgery.The external treatment group usedTCM external treatment on the basis of the former.The postoperative bowel sound recovery,first anal exhaust and defecation time,pain score,hospital stay,related complicationswere compared between the two groups.Results The recovery of postoperative bowel sound recovery,first anal exhaust and defecation time in the external treatment group were shorter than those in the control group(P<0.05).Postoperative pain score was better than that of the control group(P<0.05).The hospital stay of patients undergoing liver surgery and pancreatic surgery was shorter than that of the control group(P<0.05),and there was no significant difference in the incidence of related complications(P<0.05).Conclusion The application of TCM external treatment with ERAS in the perioperative period of hepatobiliary surgery can reduce the pain of postoperative patients,promote the recovery of gastrointestinal function and shorten the length of hospital stay.It is worthy of clinical promotion.
作者
王卫卫
牛秀峰
侯鹏飞
刘晓洋
李澄云
刘晓明
高林
WANG Wei-wei;NIU Xiu-feng;HOU Peng-fei(Hepatocholine Surgery,Shandong University of Traditional Chinese Medicine,Jinan(250000),China)
出处
《中国中西医结合外科杂志》
CAS
2021年第6期860-863,共4页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
关键词
中医外治技术
加速康复外科
围手术期
肝胆外科
TCM external treatment
enhanced recovery after surgery
perioperative period
hepatobiliary surgery
