【摘要】 目的探究加速康复外科在原发性肝癌根治术围手术期的应用价值。方法 107例实施原发性肝癌根治术患者,按照围手术期是否采用加速康复外科干预分为研究组(48例)与参照组(59例)。研究组患者实施加速康复外科干预,参照组患者实施传统干预。比较两组患者术前感受评分、并发症发生情况及不同时间疼痛评分。结果研究组患者术前口渴、饥饿感、紧张程度评分分别为(3.45±0.75)、(3.71±1.04)、(6.13±1.65)分,显著低于参照组的(7.24±1.33)、(6.34±1.23)、(7.82±1.94)分,差异具有统计学意义(P<0.05)。研究组患者并发症发生率为20.8%,与参照组的28.8%比较差异无统计学意义(P>0.05)。手术当天,两组疼痛评分比较差异无统计学意义(P>0.05);术后第1、2、3、4天,研究组疼痛评分均显著低于参照组,差异具有统计学意义(P<0.05)。结论原发性肝癌根治术围手术期实施加速康复外科干预,可有效改善患者术前感觉,降低术后疼痛,同时,不会增加并发症发生率,安全性较高,具有一定临床应用价值。更多还原

【Abstract】 Objective To investigate the application value of accelerated rehabilitation surgery in the perioperative period of radical resection of primary liver cancer. Methods A total of 107 patients with radical resection of primary liver cancer were divided into research group(48 cases) and control group(59 cases) according to whether to adopt accelerated rehabilitation surgical intervention in perioperative period. The research group received accelerated rehabilitation surgical intervention, and the control group received traditional intervention. The preoperative sensory score, occurrence of complications and pain score at different time points of the two groups were compared. Results The thirst, hunger, tension score before surgery of the research group were(3.45±0.75),(3.71±1.04) and(6.13±1.65) points, which were significantly lower than those of the control group(7.24±1.33),(6.34±1.23) and(7.82±1.94) points, and the difference was statistically significant(P<0.05). The incidence of complications of the research group was 20.8%, which had no statistically significant difference, compared with that of the control group 28.8%(P>0.05). On the day of surgery, there was no statistically significant difference in pain score between the two groups(P>0.05). At 1 st, 2 nd, 3 rd and 4 th day after surgery, the pain score of the research group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Accelerated rehabilitation surgical intervention in the perioperative period of radical resection of primary liver cancer can effectively improve the preoperative sensory of patients, reduce the postoperative pain, at the same time, will not increase the incidence of complications with high safety. It contains a certain clinical application value.更多还原