Practice and application of enhanced recovery after surgery in perioperative period of liver operation
Gu, L.L.; Zhang, X.J.; Li, J.; Zhou, G.
Zhonghua Yi Xue Za Zhi 99(26): 2052-2056
2019
ISSN/ISBN: 0376-2491 PMID: 31315376 Document Number: 699225
目的： 探讨将加速康复外科理念应用于肝脏手术患者的安全性、可行性。 方法： 选择复旦大学肿瘤医院2017年12月至2018年2月行肝脏手术的166例患者为对照组，170例患者为加速康复外科（ERAS）组。比较两组患者术前及术后相关指标的差异。 结果： ERAS组患者较对照组，术前肠内营养支持率高（78例比17例）、术后口渴和饥饿发生率降低（1例比141例）；术后首次进食时间提早，预防性镇痛比例提高，爆发痛发生率降低，每日下床活动次数增多，腹胀发生率降低，术后住院天数缩短[（5.31±1.36）d比（6.28±2.25）d]，差异均有统计学意义（均P<0.05）。 结论： 加速康复外科理念在肝脏手术患者围手术期的应用是安全可行的，能够减轻患者围手术期的不适，加速患者术后康复。.
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