加速康复外科理念在原发性肝癌肝切除术围手术期管理的应用价值

发布时间：2018-06-17 16:23

本文选题：癌 + 肝细胞　；参考：《中国普通外科杂志》2017年02期

【摘要】：目的:探讨加速康复外科理念(ERAS)在原发性肝癌肝切除术围手术期应用的优越性。方法:将2015年7月—2016年6月收治的81例原发性肝癌肝切除术患者按照随机数字表法分成ERAS组(n=40)和对照组(n=41),ERAS组采用ERAS理念进行围手术期处理,对照组采用传统围手术期处理,比较两组患者的相关临床指标。结果:两组患者术前一般资料无明显差异(均P0.05)。两组患者的手术方式、手术时间、术中出血量、术后并发症情况均无明显差异(均P0.05),但ERAS组术后肛门排气排便时间、术后NRS评分、术后引流管拔除时间、术后住院时间均明显优于对照组(均P0.05)。所有患者术后随访1~2个月,无出院30 d内再次住院或手术病例。结论:ERAS理念应用于肝癌肝切除术患者围手术期的管理安全有效,能加快患者术后恢复。
[Abstract]:Objective: to evaluate the advantages of accelerated rehabilitation surgery (ERASS) in the perioperative period of hepatectomy for primary liver cancer (HCC). Methods: 81 patients with primary liver cancer underwent hepatectomy from July 2015 to June 2016 were randomly divided into two groups: ERAS group (n = 40) and control group (n = 41). To compare the related clinical indexes between the two groups. Results: there was no significant difference in preoperative general data between the two groups (P 0.05). There was no significant difference between the two groups in the operation mode, operation time, intraoperative bleeding volume and postoperative complications (all P 0.05), but the postoperative anal exhaust and defecation time, postoperative NRS score, drainage tube extubation time were not significantly different in ERAS group. The postoperative hospitalization time was significantly better than that in the control group (P 0.05). All patients were followed up for 1 ~ 2 months and no cases were re-hospitalized or operated within 30 days after discharge. Conclusion it is safe and effective in perioperative management of liver cancer patients after liver resection by using the concept of Wirons, which can accelerate the postoperative recovery.
【作者单位】：南昌大学第二附属医院肝胆外科;南昌大学第二附属医院胃肠外科;
【分类号】：R735.7

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