[1]胡金灵.多学科团队-加速康复外科模式在肝胆外科中的应用[J].医学信息,2022,35(07):112-114.[doi:10.3969/j.issn.1006-1959.2022.07.027]
　HU Jin-ling.Application of Multidisciplinary Team-enhanced Recovery After Surgery in Department of Hepatobiliary Surgery[J].Medical Information,2022,35(07):112-114.[doi:10.3969/j.issn.1006-1959.2022.07.027]
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多学科团队-加速康复外科模式在肝胆外科中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年07期
页码:
112-114
栏目:
论著
出版日期:
2022-04-01

文章信息/Info

Title:
Application of Multidisciplinary Team-enhanced Recovery After Surgery in Department of Hepatobiliary Surgery
文章编号:
1006-1959（2022）07-0112-03
作者:
胡金灵
（安吉县人民医院外科，浙江 安吉 313300）
Author(s):
HU Jin-ling
(Department of Surgical,People’s Hospital of Anji,Anji 313300,Zhejiang,China)
关键词:
多学科模式; 快速康复外科; 肝胆外科手术; 炎症因子; 肝功能
Keywords:
Multidisciplinary model; Rapid rehabilitation surgery; Hepatobiliary surgery; Inflammatory factors; Liver function
分类号:
R657.3
DOI:
10.3969/j.issn.1006-1959.2022.07.027
文献标志码:
A
摘要:
目的 探讨多学科团队-加速康复外科（MDT-ERAS）模式在肝胆外科中的应用价值。方法 选取2020年4月-2021年4月安吉县人民医院收治的肝胆外科手术患者202例为研究对象，采用投币法随机分为观察组（101例）和对照组（101例）。对照组应用常规方法进行围手术期处理，观察组引入MDT-ERAS模式进行围手术期处理。比较两组患者术后疼痛评分、生活自理能力、排气时间、住院时间、住院费用、术后并发症、血液炎症指标及肝功能指标。结果 观察组术后疼痛评分、住院费用、并发症发生率少于对照组，排气时间、住院时间短于对照组，差异有统计学意义（P＜0.05）；观察组术后生活自理能力评分高于对照组，差异有统计学意义（P＜0.05）；观察组术后第3天血PCT、h-CRP、WBC及ALT水平低于对照组，差异有统计学意义（P＜0.05）。结论 MDT-ERAS可减少术后并发症、促进患者康复、缩短住院时间、降低患者经济负担。
Abstract:
Objective To explore the application value of multidisciplinary team-enhanced recovery after surgery（MDT-ERAS）in Department of Hepatobiliary Surgery.Methods A total of 202 patients with hepatobiliary surgery admitted to People’s Hospital of Anji from April 2020 to April 2021 were selected and randomly divided into observation group ( 101 cases ) and control group ( 101 cases ). The control group was treated with conventional methods for perioperative treatment, and the observation group was treated with MDT-ERAS model for perioperative treatment. The postoperative pain score, self-care ability, exhaust time, hospitalization time, hospitalization expenses, postoperative complications, blood inflammation indexes and liver function indexes were compared between the two groups.Results The postoperative pain score, hospitalization cost and complication rate in the observation group were less than those in the control group, and the exhaust time and hospitalization time were shorter than those in the control group, the difference was statistically significant (P<0.05). The self-care ability score of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05). The blood PCT, h-CRP, WBC and ALT levels of the observation group on the third day after operation were lower than those of the control group, and the difference was statistically significant (P<0.05).Conclusion MDT-ERAS can reduce postoperative complications, promote rehabilitation, shorten hospitalization time and reduce economic burden of patients.

参考文献/References:

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更新日期/Last Update: 1900-01-01