浙江医学2018，Vol.40Issue(5)：475-478,4.DOI:10.12056/j.issn.1006-2785.2018.40.5.2017-2356
加速康复外科理念用于肝囊型肝包虫病外囊剥离手术治疗的效果观察
Efficacy observation of enhanced recovery after surgery protocols on the treatment of hepatic cyst-type hepatic echinococcosis by external capsule dissection
刘学军 1木尼热丁·艾则孜 1张新龙 1陈智全 1买买提江·喀斯木 1陈剑2
作者信息
- 1. 843000 新疆阿克苏地区第一人民医院普外科
- 2. 浙江省立同德医院普外科
- 折叠
摘要
Abstract
Objective To evaluate the application of enhanced recovery after surgery (ERAS) protocol for patients with hepatic cyst-type hepatic echinococcosis treated by external capsule dissection.Methods Seventy patients with hepatic cystic echinococcosis undergoing external capsule dissection were assigned to be managed by ERAS protocol (ERAS group) or conventional protocol(control group),with 35 patients in each group.The mean operation time,volume of intraoperative blood loss and perioperative blood transfusion were compared between two groups.The serum C-reactive protein (CRP),tumor necrosis-α (TNF-a),procalcitonin (PCT) levels and fasting plasma glucose levels were measured 1d before and 1d after operation.The times of postoperative ambulation,fasting,anal exhaust and length of postoperative hospital stay were documented and compared.Results There were no significant differences in mean operation time,volume of intraoperative blood loss,intraoperative and postoperative blood transfusion;preoperative serum CRP,TNF-a,PCT and fasting plasma glucose levels between two groups (P ＞0.05).The postoperative serum CRP,TNF-a,PCT and fasting plasma glucose levels of ERAS group were lower than those of control group (P＜0.05).The times of postoperative ambulation,fasting,anal exhaust and the length of postoperative hospital stay of ERAS group were shorter than those of control group (P＜0.05).Conclusion ERAS protocols are able to relief perioperative stress and inflammation response,enhance the recovery after surgery for patients with hepatic cyst-type hepatic echinococcosis treated by external capsule dissection.关键词
加速康复外科/肝包虫病/C反应蛋白/肿瘤坏死因子/前降钙素原Key words
Enhanced recovery after surgery(ERAS)/Hepatic echinococcosis/C-reactive protein/Tumor necrosis-α/Procalcitonin引用本文复制引用
刘学军,木尼热丁·艾则孜,张新龙,陈智全,买买提江·喀斯木,陈剑..加速康复外科理念用于肝囊型肝包虫病外囊剥离手术治疗的效果观察[J].浙江医学,2018,40(5):475-478,4.
