快速康复外科在胆总管切开取石术中应用的对比研究

目的探讨快速康复外科（FTS）理念在胆总管切开取石术患者中的临床应用价值和安全性。方法对80例择期行胆总管切开取石患者,分别采用FTS理念指导下的围手术期处理方法（n=40）和传统的围手术期处理方法（n=40）,比较两组术后下床活动时间、排气及排便时间、进食时间、住院天数、住院费用及并发症发生情况。结果 FTS组术后进食时间、排便及排气时间、下床活动时间、住院天数明显缩短,住院费用明显减少（P〈0.05或P〈0.01）,两组术后并发症无显著差异。结论 FTS理念在胆总管切开取石术中的应用安全、经济、有效,不仅使患者术后恢复加快,同时还可缩短住院时间,降低住院费用,具有较高的临床应用价值。

Application of fast track surgery to choledocholithotomy:a study compared with traditional perioperative treatment

Objective To explore the clinical value and safety of application of fast track surgery（FTS）idea to treat patients receiving choledocholithotomy.Methods 80 patients undergoing selective choleodolithomy were randomly divided into two groups（n=40）.They were perioperatively treated according to FTS ideas（FTS group）or using conventional methods（conventional group）.The time of out-of-bed activity,defecation and exhaust,and foodintake after operation between the two groups were compared,so did hospital days,hospital cost and complications.Results After operation,the time of foodintake,defecation and exhaust,and out-of-bed activity as well as hospital days were significantly shorter and hospital cost was significantly less in FTS group than those in conventional group（P0.05或P0.01）.The postoperative complications between the two groups showed no significant difference（P0.05）.Conclusion The application of FTS to patients undergoing choledocholithotomy is safe,economical and effective.It can not only promote postoperative recovery,but also shorten hospitalization time and reduce hospital cost.