摘要
目的 探讨加速康复外科(ERAS)治疗模式在肝囊型包虫病患者围手术期的安全性及有效性.方法 收集2018年1月至2023年1月期间就诊于新疆维吾尔自治区中医医院普外科就诊并行手术切除的肝囊型包虫病患者总95例,男性53例,女性42例,其分为对照组47例和实验组(ERAS组)48例,比较两组患者术前、术中、术后相关指标.计数资料采用卡方检验,计量资料进行正态性检验.结果 术前相关指标,包括性别、年龄、ASA分级、病灶大小、BMI、手术时间差异无统计学意义(P＞0.05).两组患者术中相关指标,尿量及输液量差异有差异有统计学意义(P＜0.05).下床活动时间、肛门排气时间、术后进食时间(清淡饮食)、术后住院时间、拔出引流管时间均差异有统计学意义(P＜0.05).术后第3天肝功能水平、谷丙转氨酶、谷丙转氨酶、血清白蛋白水平差异有显著统计学意义(P＜0.05).结论 肝囊型包虫病患者在临床条件下可选择加速康复治疗可促进术后康复,缩短住院时间,拔出引流管时间以及有助于肝功能恢复.
Abstract
Objective To explore the safety and effectiveness of the Accelerated Rehabilitation Surgery(ERAS)treatment mode in the perioperative period of patients with hepatic cystic echinococcosis.Method A total of 95 patients with hepatic cystic echinococcosis who underwent surgical resection at the General Surgery Department of Xinjiang Uygur Autonomous Region Traditional Chinese Medicine Hospital from January 2018 to January 2023 were collected.There were 53 males and 42 females,divided into a con-trol group of 47 cases and an experimental group(ERAS group)of 48 cases.The perioperative related indicators of the two groups of patients were compared.Count data is subjected to chi square test,measurement data is subjected to normality test,and t-test is used for data that conforms to normal distribution.Results There was no statistically significant difference in preoperative related indica-tors,including gender,age,ASA grade,lesion size,BMI,and surgery time(P＞0.05).There was a statistically significant differ-ence in intraoperative related indicators,urine volume,and infusion volume between the two groups of patients(P＜0.05).There were statistically significant differences(P＜0.05)in the time for getting out of bed,anal exhaust,postoperative eating time(light di-et),postoperative hospitalization time,and drainage tube removal time.On the third day after surgery,there were significant statistical differences in liver function levels,alanine aminotransferase,alanine aminotransferase,and serum albumin levels(P＜0.05).Con-clusion Patients with hepatic cystic echinococcosis can choose to undergo accelerated rehabilitation treatment under clinical condi-tions,which can promote postoperative recovery,shorten hospitalization time,remove drainage tubes,and contribute to liver function recovery.
维普
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