腹腔镜胆囊切除术后早期进食的优势分析

目的探讨腹腔镜胆囊切除术后早期进食的优势。方法将腹腔镜胆囊切除术患者150例按手术时间先后分为三组,每组50例,A组于麻醉完全清醒后即进食无脂流质,B组于麻醉清醒后4~6 h进食无脂流质,C组按常规于肛门排气后进食。比较三组患者术后肠鸣音恢复时间、肛门排气时间、恶心呕吐发生例次、静脉输液量、住院天数及并发症发生率等指标。结果A组与B、C两组相比,肠道功能恢复快,术后恶心呕吐发生例次少,静脉输液量少,住院时间短,各指标差异有统计学意义;三组术后并发症发生率差异无统计学意义(P0.05)。结论腹腔镜胆囊切除术后早期进食可促进术后康复。

Analysis on advantage of feeding patient in early-stage after laparoscopic cholecystectomy

Objective To analyze the advantage of feeding patient in early-stage after laparoscopic cholecystectomy.Method Divide 150 patients undergoing laparoscopic cholecystectomy into three groups equally according to operation order.Patients in group A take fat-free Liquid diet after fully awake from anesthesia.Patients in group B take fat-free Liquid diet 4~6h after awake from anesthesia.Patients in group C take routine feeding after anal exsufflation.Compare recovery time of bowel sounds after operation,flatus time,cases of vomit after operation,intravenous fluid volume,length of hospital stay and rate of complications of three groups.Result Compared to group B and C,group A has a rapid recovery of bowel function,less cases of vomit after operation,less intravenous fluid volume and shorter hospital stay.The difference is significant.Incidence of complications has no significant difference between the three groups（P0.05）.Conclusion Feeding patient in early-stage after laparoscopic cholecystectomy can accelerate postoperative rehabilitation.