胰十二指肠切除术快速康复外科监护 |
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引用本文: | 马微微,王彬,侯彩平,马飞飞.胰十二指肠切除术快速康复外科监护[J].中华普外科手术学杂志(电子版),2017(1):56-58. |
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作者姓名: | 马微微 王彬 侯彩平 马飞飞 |
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作者单位: | 中国人民解放军总医院肿瘤外科,北京,100853 |
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摘 要: | 目的探讨快速康复外科监护对胰十二指肠切除术围手术期的效果。方法选自2014年4月至2015年7月300例施行胰十二指肠切除术的患者,围手术期随机分为两组,即以传统监护的传统组和快速康复外科监护的实施组各150例。数据采用软件SPSS 16.0进行处理,术后并发症、满意度调查计数资料采用χ~2检验,P0.05则认为差异具有统计学意义。结果 300例患者胰十二指肠切除术均顺利完成,其中实施组患者术后并发症总例数5例(3.3%);传统组中术后并发症总例数13例(8.6%),实施组术后并发症发生率明显低于传统组,差异有统计学意义(χ~2=4.551,P=0.033)。同时患者满意度调查显示,实施组满意率98.0%(147/150),传统组满意率93.3%(140/150),实施组满意度高于传统组,差异有统计学意义(χ~2=3.940,P=0.047)。结论胰十二指肠切除术的快速康复外科监护,可降低手术并发症的发生,提高患者术后满意度,改善患者生活质量。
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关 键 词: | 胰腺疾病 胰十二指肠切除术 围手术期 重症监护 |
Perioperative application of Fast Track Rehabilitation in Pancreaticoduodenectomy |
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Authors: | Ma Weiwei Wang Bin Hou Caiping Ma Feifei |
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Abstract: | Objective To investigate perioperative application of fast track rehabilitation in patients underwent pancreaticoduodenectomy.Methods From April 2014 to July 2015,300 patients received pancreaticoduodenectomy were randomly divided into experimental group (n =150) and traditional group (n=150).Clinical data were analyzed retrospectively,including postoperative complications and postoperative satisfaction.Statistical analysis were performed by using SPSS (version 16,SPSS Inc,Chicago,IL).The postoperative complications,satisfaction survey count data using x2 test.A P value <0.05 was considered as statistically significant difference.Results All of 300 patients underwent pancreaticoduodenectomy successfully.In experimental group,there were 5 cases (3.3%) of postoperative complications with postoperative satisfaction of 98.0% (147/150).In traditional group,there were 13 cases (8.6%) of postoperative complications with postoperative satisfaction of 93.3% (140/150).There were significant difference between 2 groups in terms of postoperative complications and postoperative satisfaction rate respectively (t2 =4.551,P =0.033;x2 =3.940,P =0.047).Conclusion For patients underwent pancreaticoduodenectomy,the fast track rehabilitation could reduce incidence of surgical complications and improve patient's satisfaction and the quality of life. |
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Keywords: | Pancreatic diseases Pancreaticoduodenectomy Intraoperative period Intraoperative period |
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