摘要
目的:分析加速康复外科理念在喀什地区基层医院肝囊性包虫病患者中的应用价值。方法:选取2020年2月—2023年2月喀什地区第一人民医院收治的肝囊性包虫病患者60例作为观察对象,采用随机数字表法分为观察组(快速康复外科理念管理)与对照组(常规围术期管理),各30例。比较两组手术指标、恢复指标、炎性反应指标、视觉模拟评分法(VAS)评分。结果:观察组手术时间短于对照组,术中出血量少于对照组,术中与术后输血率低于对照组,差异有统计学意义(P<0.001);观察组下床活动时间、进食时间、肛门排气时间、住院天数均短于对照组,差异有统计学意义(P<0.001);术后1d,两组血清C反应蛋白、肿瘤坏死因子-α、降钙素原水平均降低,观察组低于对照组,差异有统计学意义(P<0.001);术后1d,两组VAS评分均降低,观察组低于对照组,差异有统计学意义(P<0.001)。结论:在喀什地区基层医院肝囊性包虫病治疗中采用加速康复外科理念可提高治疗效果,改善炎性因子水平,促进患者术后恢复,减轻疼痛程度。
Objective:To analyze the application value of the concept of accelerated rehabilitation surgery in patients with hepatic cystic echinococcosis in primary hospitals of Kashgar prefecture.Methods:Sixty patients with hepatic cystic echinococcosis treated in Kashgar Prefecture First People's Hospital from February 2020 to February 2023 were selected as the observation objects,and were divided into observation group(rapid rehabilitation surgical concept management)and control group(routine perioperative management)by random number table method,with thirty cases each.The surgical indexes,recovery indexes,inflammatory response indexes and Visual Analogue Scale(VAS)scores were compared between the two groups.Results:The operation time of observation group was shorter than that of control group,the intraoperative blood loss was less than that of control group,and the intraoperative and postoperative blood transfusion rate was lower than that of control group,the difference was statistically significant(P<0.001);the time of getting out of bed,eating time,anal exhaust time and hospitalization days in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.001);on the first day after surgery,serum C-reactive protein,tumor necrosis factor-αand procalcitonin of both groups were decreased,the observation group was lower than the control group,and the difference was statistically significant(P<0.001);on the first day after surgery,VAS scores of both groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.001).Conclusion:In the treatment of hepatic cystic echinococcosis in primary hospitals of Kashgar prefecture,the concept of accelerated rehabilitation surgery can improve the therapeutic effect,improve the level of inflammatory factors,promote the postoperative recovery of patients,and reduce the degree of pain.
作者
依力哈木江·吐尔逊
阿不都克衣木·牙生
徐祺林
阿卜杜沙塔尔·麦麦提敏
骆新玲
Yilihamujiang Tuerxun;Abudukeyimu Yasheng;Xu Qilin;Abudushataer Maimaitimin;Luo Xinling(Department of Hepatobiliary and Pancreatic Surgery,Kashgar Prefecture First People's Hospital,Kashgar 844000,Xinjiang Uygur Autonomous Region,China;Department of Anesthesiology,Kashgar Prefecture First People's Hospital,Kashgar 844000,Xinjiang Uygur Autonomous Region,China)
出处
《中外医药研究》
2023年第36期51-53,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
基金
喀什地区应用技术研究与开发计划项目(编号:KS2020005)。
关键词
喀什地区
加速康复外科理念
肝囊性包虫病
基层医院
Kashgar prefecture
Accelerated rehabilitation surgery concept
Hepatic cystic echinococcosis
Primary hospital
