快速康复外科理念在肝硬化门静脉高压症患者初步应用的对照研究

目的 评价围手术期快速康复外科理念在肝硬化门静脉高压症患者初步应用的临床效果.方法 根据入选标准,42例肝硬化门脉高压症患者进入研究并随机分为快速康复外科理念初步应用研究组(21例)和传统方法对照组(21例).比较两组患者术后首次排便时间、术后住院时间、住院总费用和术后并发症的发生率.结果 研究组术后首次排便时间显著早于对照组(P=0.0287);术后住院时间显著短于对照组(P=0.002)；住院总费用显著少于对照组(P=0.000).研究组与对照组并发症的发生率分别为7.15％和21.5％,差异有统计学意义(P=0.001).结论 围手术期快速康复外科理念的应用可以加快肝硬化门脉高压症患者术后康复,缩短术后住院时间,降低医疗费用,减少并发症.

Fast-track surgcry for cirrhotic patients with portal hypertension: a comparative study

Objective To study the effect of a fast-track surgery (FTS) program on the clinical outcomes in cirrhotic patients with portal hypertension.Methods 42 cirrhotic patients with portal hypertension were randomly allocated into the FTS group (n=21) and the conventional therapy control group (n=21).The postoperative time to first defecation,hospital stay,hospitalization cost,and postoperative complications were compared between the two groups.Results Compared with the control group,the postoperative time to first defecation was significantly shorter in the FTS group (P=0.0287).Furthermore,the postoperative hospital stay was significantly shorter in the FTS group than the control group (P=0.002).Additionally,hospitalization cost was significantly lower in the FTS group than the control group (P＜0.001).The postoperative complication was also significantly different between the two groups (7.15 ％ vs 21.5 ％,P=0.001).Conclusion A FTS program contributed to better postoperative rehabilitation in cirrhotic patients with portal hypertension.