加速康复外科技术在腹腔镜阑尾切除术中的应用

Fast Track Surgery in the Application of LaparoscopicAppendectomy

摘要: 目的：探讨加速康复外科(fast track surgery, FTS)在腹腔镜阑尾切除术中应用的安全性及临床效果。方法：回顾性分析63例腹腔镜下行阑尾切除术病人的临床资料，其中FTS组31例，对照组32例，比较两组病人术后肠蠕动恢复时间、下床活动时间、住院时间、住院费用等指标和术后并发症。结果：FTS组病人术后肠蠕动恢复时间、进食时间、下床活动时间、住院天数明显短于对照组，住院费用亦明显减少(P < 0.05)，两组病人术后并发症比较无显著性差异(P > 0.05)。结论：FTS应用于腹腔镜阑尾切除术安全、有效和可行。

Abstract: Objective: To investigate the fast track surgery in the clinical effect and safety of laparoscopic ap-pendectomy in application. Methods: The clinical data of 63 patients with laparoscopic appendec-tomy were retrospectively analyzed, FTS group of 31 cases, control group 32 cases, two groups of patients compared with postoperative intestinal peristalsis recovery time, ambulation time, length of hospital stay, hospital expenses and other indicators and postoperative complications. Results: The postoperative intestinal peristalsis recovery time, eating time, ambulation time, hospitalization days of patients in FTS group were shorter than the control group obviously, hospitalization costs also decreased significantly (P < 0.05), postoperative complications of patients in two groups were no significant difference (P > 0.05). Conclusion: FTS, applied in laparoscopic appendectomy is safe, effective and feasible.