快速康复外科理念在老年患者急诊胆囊切除术中的应用

目的探讨快速康复外科理念在老年患者急诊胆囊切除术中应用的效果。方法比较传统方法与快速康复外科理念治疗急诊行胆囊切除术对老年患者的疗效,观察比较两组患者的肠道排气时间、住院时间及术后心肺、手术切口并发症、C-反应蛋白、前降钙素原等指标有无差异。结果所有患者均治愈,未发生胆瘘、黄疸、腹腔出血及腹腔感染等并发症。与快速康复治疗组比较,传统治疗组C-反应蛋白、前降钙素原、排气时间及住院时间明显延长,而心肺并发症、手术切口并发症两组则无明显差异。结论应用快速康复外科理念采取适当治疗措施,能减少患的应激反应,缩短住院时间,加速患者的康复。

Fast track surgery in emergency cholecystectomy of old patients

Objective:To investigate the value of fast track surgery (FTS) applied in emergency cholecystectomy of old patients.
Methods:To compared the effect of  FTS and traditional methods in the treatment of old patients who were treated with emergency cholecystectomy in our hospital, and to observe gut function, hospitalization time, C-reactive protein, procalcitonin and postoperative complications of the two groups.
Results:All the patients were cured without abdominal complications. In  traditional therapy group,  level of C-reactive protein and procalcitonin was higher, and return time of gut function and hospitalization time was longer, compared with that in FTS therapy group, while the postoperative complications of the two groups showed no difference.
Conclusions:Fast track surgery is effective in emergency cholecystectomy of old patients, which can reduce the stress, shorten hospitalization time, and promote the recovery of patients.