首页|加速康复外科在基层医院老年腹股沟疝围术期的应用

加速康复外科在基层医院老年腹股沟疝围术期的应用

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目的 探讨基层医院老年腹股沟疝患者围术期快速康复的应用价值,为建立基层医院老年腹股沟疝围术期快速康复路径提供依据。方法 选取 2022 年 6 月至 2022 年 12 月徐汇区大华医院普外科 120 例老年腹股沟疝手术患者,随机分为观察组 60 例,对照组 60 例。对照组采用一般管理模式,观察组采用快速康复理念管理,对比两组患者术后疼痛情况、术后恢复情况、满意度及并发症发生率。结果 两组术后 6 h疼痛评分比较差异无统计学意义(P>0。05),观察组术后 1 d、术后 3 d疼痛评分均低于对照组,差异有统计学意义(P<0。05);观察组首次排气、排便时间、住院天数短于对照组,观察组患者满意度高于对照组,并发症发生率低于对照组,差异均有统计学意义(P<0。05)。结论 在老年腹股疝围术期使用加速康复理念,可以减轻疼痛,促进胃肠功能尽早恢复,减少住院天数,降低并发症,值得基层医院应用。
Application of Enhanced Recovery After Surgery in Perioperative Period of Inguinal Hernia in Elderly Patients in Primary Hospitals
Objective To explore the application value of rapid recovery in the perioperative period of elderly patients with inguinal hernia in primary hospitals,and to provide a basis for establishing a rapid recovery pathway for elderly patients with inguinal hernia in the perioperative period in primary hospitals.Methods A total of 120 elderly patients with inguinal hernia surgery in the Department of General Surgery,Dahua Hospital,Xuhui District from June 2022 to December 2022 were selected.They were randomly divided into the observation group(60 cases)and the control group(60 cases).The control group was managed with a general management mode,and the observation group was managed with a rapid recovery concept.The postoperative pain,postoperative recovery,satisfaction,and incidence of complications of the two groups were compared.Results There was no statistically significant difference in the postoperative 6-hour pain score between the two groups(P>0.05).The postoperative 1-day and 3-day pain scores of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The time of first exhaust,first defecation,and hospital stay of the observation group were shorter than those of the control group.The satisfaction of the observation group was higher than that of the control group,and the incidence of complications was lower than that of the control group,with statistically significant differences(P<0.05).Conclusion The use of the concept of rapid recovery in the perioperative period of elderly patients with inguinal hernia can alleviate pain,promote the early recovery of gastrointestinal function,reduce the length of hospital stay,reduce complications,and is worth applying in primary hospitals.

rapid recoveryprimary hospitalelderlyinguinal herniasurgery

金齐敏、柏涌海、俞璟滢、张援春、张丹、周明、杨雅

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徐汇区大华医院 普外科,上海 200231

上海长征医院 心理医学科,上海 200003

快速康复 基层医院 老年 腹股沟疝 手术

上海市徐汇区医学重点学科建设(高峰学科)

SHXHZDXK202307

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)