加速康复外科技术在治疗肝泡型包虫病患者中的应用及疗效

发布时间：2018-08-17 13:41

【摘要】：目的:探讨加速康复外科技术在治疗肝泡型包虫病患者中的应用及疗效。方法:通过回顾性分析新疆医科大学2016年6月-2017年1月外科收治的43例病人的治疗情况,按照运用快速康复外科技术(A组)及传统技术(B组),对两组临床资料及各项数据进行分析与对比,观察指标:(1)应激状态评价:比较两组术前第1天及术后第l天C反应蛋白、降钙素原、血糖等生化指标;(2)术后情况评价:患者术后下床活动时间、进食时间、肛门排气时间、住院天数、住院费用等;(3)患者术后并发症的发生率。结果:数据显示两组病例在年龄及性别构成及患者术后复发率等数据没有统计学意义(P0.05);两组病例在C反应蛋白、降钙素原、血糖,患者术后下床活动时间、进食时间、肛门排气时间、住院天数、住院费用,患者术后并发症的发生率存在统计学意义(P0.05)。结论:治疗肝泡型包虫病患者运用加速康复外科技术有利于患者术后康复,可减轻患者应激状态,加快患者术后下床活动时间、进食时间、肛门排气时间、减少住院天数、住院费用,减少术后并发症的发生率。
[Abstract]:Objective: to investigate the application and effect of accelerated rehabilitation surgery in the treatment of hepatic alveolar hydatid disease. Methods: a retrospective analysis of 43 cases of surgical treatment in Xinjiang Medical University from June 2016 to January 2017 was carried out. According to the rapid rehabilitation surgery technique (group A) and the traditional technique (group B), the clinical data and data of the two groups were analyzed and compared. The following indexes were observed: (1) stress state evaluation: the C-reactive protein was compared between the two groups on the first day before operation and on the first day after operation. Calcitonin, blood sugar and other biochemical indicators; (2) postoperative evaluation: the time of the patient out of bed, feeding time, anal exhaust time, hospital days, hospital expenses, etc. (3) the incidence of postoperative complications. Results: the data showed that there was no significant difference in age, sex composition and recurrence rate between the two groups (P0.05), but the two groups had no significant difference in C-reactive protein, procalcitonin, blood sugar, time of getting out of bed and feeding time after operation. The time of anal exhaust, the days of hospitalization, the cost of hospitalization, the incidence of postoperative complications were statistically significant (P0.05). Conclusion: the treatment of hepatic alveolar hydatid disease patients with liver alveolar hydatid disease by accelerated rehabilitation surgery is beneficial to postoperative rehabilitation, can reduce the stress state of the patients, accelerate the time of the patients out of bed, eating time, anal exhaust time, and reduce the hospital stay. The cost of hospitalization reduces the incidence of postoperative complications.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R657.3

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