| 许鹏,姚捷,钱建军,等.快速康复外科理念在胰十二指肠切除术围手术期管理中的应用[J].安徽医药,2019,23(11):2179-2182. |
| 快速康复外科理念在胰十二指肠切除术围手术期管理中的应用 |
| The application of the concept of enhanced recovery after surgery in pancreati coduo denectomy |
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| DOI：10.3969/j.issn.1009?6469.2019.11.015 |
| 中文关键词: 胰十二指肠切除术 快速康复外科 焦虑状态 效果分析 |
| 英文关键词: Pancreaticoduodenectomy Enhanced recovery after surgery Anxiety state Effect analysis |
| 基金项目:国家自然科学基金面上项目(81772516) |
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| 中文摘要: |
| 目的探讨快速康复外科( ERAS)理念在胰十二指肠切除术围手术期管理中的临床应用效果。方法选取 2016年 12月至 2018年 12月苏北人民医院接受胰十二指肠切除术病人 154例，按照随机数字表法分为 ERAS组( 77例)与对照组( 77例)ERAS组采用 ERAS理念围手术期管理，对照组采用传统的围手术期管理。结果对照组与 ERAS组在术后首次下床活动时，间［(54±4.7)比( 23.6±7.2)h］、拔除腹腔引流管时间［(9.5±2.4)比( 8.7±2.3)d］、术后首次饮水时间［(39±5.7)比( 25.3±4.6)h］、术后排气时间［(3.2±2.1)比( 2.3±1.2)d］、术后排便时间［(4.8±1.5)比( 4.3±1.2)d］、术后住院时间［(18±8.7)比( 12±2.4)d］、住院费用［(8.3±2.4)比( 7.3±1.2)万元］、焦虑情况［ 49例比 35例］、 30 d内再入院［ 0比 7例］等指标差异有统计学意义( P＜0.05)；在出血、胆瘘、胰瘘、腹腔感染等手术相关并发症差异无统计学意义( P＞0.05)。结论快速康复外科理念能够降低胰十二指肠切除术病人术后焦虑状态，加速病人康复，并不增加术后相关并发症。 |
| 英文摘要: |
| Objective To investigate the clinical application of Enhanced recovery after surgery(ERAS)in pancreaticoduodenecto? my.Methods A total of 154 patients，enrolled from 2016 Dec.to 2018 Dec.in the Northern Jiangsu People，s Hospital undergoing pancreaticoduodenectomy，were randomly divided to the ERAS group(77 patients)and the control group(77 patients).The ERAS group received perioperative management of the ERAS concept and the control group received a conventional perioperative manage?ment.Results The time of the first time to get out of bed after surgery［( 54±4.7)vs.(23.6±7.2)h］the time of removal of ab? dominal drainage tube［(9.5±2.4)vs.(8.7±2.3)d］，the time of first drinking after surgery［(9.5±2.4)vs.(，8.7±2.3)d］，the recov? ery of postoperative gastrointestinal function［(3.2±2.1)vs.(2.3±1.2)d］length of stay［(18±8.7)vs.(12±2.4)d］，expenses［(8.3± 2.4)vs.(7.3±1.2)ten thousand yuan］， on within 30 days［49 vs. 35］were included.There were significant differences(P＜0.05).There were no significant differences in surgical complications between hemorrhage，biliary fistu? la，pancreatic fistula and abdominal infection(P＞0.05).Conclusion Enhanced recovery after surgery can reduce postoperativeanxiety［49vs.35］andre?admissi， |
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