The effect of fast track surgery on postoperative rehabilitation and gastrointestinal function of patients with acute appendicitis treated by laparoscopic surgery
Objective To explore the effect of fast track surgery on postoperative rehabilitation and recovery of gastrointestinal function of patients with acute appendicitis treated by laparoscopic surgery. Methods 60 patients with acute appendicitis who received laparoscopic surgery were included in this study. According to different intervention schemes,they were divided into a control group (30 cases) and an observation group (30 cases). The control group received routine laparoscopic surgery,and the observation group implemented the concept of fast track surgery in the perioperative period. Comparison was made on postoperative recovery indexes (first eating time,first exhaust time,pain level 1 d after surgery,first defecation time,first time out of bed,hospitalization time),gastrointestinal hormone indexes (gastrin,motilin) level,and treatment safety between the two groups. Results After the intervention,in the observation group,the first eating time was (12.09±3.11) h,the first exhaust time was (23.04±3.09) h,the first defecation time was (26.32±2.77) h,the first time out of bed was (6.33±0.59) h,and the hospitalization time was (4.66±0.31) d,which were shorter than (29.98±3.45) h,(30.77±3.65) h,(35.11±2.87) h,(18.69±1.65) h,and (8.04±0.45) d in the control group;the pain level 1 d after surgery was (3.55±0.46) points,which was lower than (5.29±0.67) points in the control group (P<0.05). The observation group had gastrin of (177.48±6.87) ng/L and motilin of (265.92±7.27) ng/L,which were higher than (148.77±5.55) and (154.87±6.38) ng/L in the control group (P<0.05). The incidence of complications of 6.67％ in the observation group was lower than 46.67％ in the control group (P<0.05). Conclusion The application of fast track surgery shows significant clinical value for acute appendicitis patients treated by laparoscopic surgery,which can shorten the postoperative recovery time of patients,improve the level of gastrointestinal hormones,and has high clinical safety.
Fast track surgeryAcute appendicitisLaparoscopic surgeryGastrointestinal function
万方数据
维普
