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加速康复外科在基层医院老年腹股沟疝围术期的应用

金齐敏 柏涌海 俞璟滢 张援春 张丹 周明 杨雅

临床研究2024,Vol.32Issue(7):135-137,3.
临床研究2024,Vol.32Issue(7):135-137,3.DOI:10.12385/j.issn.2096-1278(2024)07-0135-03

加速康复外科在基层医院老年腹股沟疝围术期的应用

Application of Enhanced Recovery After Surgery in Perioperative Period of Inguinal Hernia in Elderly Patients in Primary Hospitals

金齐敏 1柏涌海 2俞璟滢 1张援春 1张丹 1周明 1杨雅1

作者信息

  • 1. 徐汇区大华医院 普外科,上海 200231
  • 2. 上海长征医院 心理医学科,上海 200003
  • 折叠

摘要

Abstract

Objective To explore the application value of rapid recovery in the perioperative period of elderly patients with inguinal hernia in primary hospitals,and to provide a basis for establishing a rapid recovery pathway for elderly patients with inguinal hernia in the perioperative period in primary hospitals.Methods A total of 120 elderly patients with inguinal hernia surgery in the Department of General Surgery,Dahua Hospital,Xuhui District from June 2022 to December 2022 were selected.They were randomly divided into the observation group(60 cases)and the control group(60 cases).The control group was managed with a general management mode,and the observation group was managed with a rapid recovery concept.The postoperative pain,postoperative recovery,satisfaction,and incidence of complications of the two groups were compared.Results There was no statistically significant difference in the postoperative 6-hour pain score between the two groups(P>0.05).The postoperative 1-day and 3-day pain scores of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).The time of first exhaust,first defecation,and hospital stay of the observation group were shorter than those of the control group.The satisfaction of the observation group was higher than that of the control group,and the incidence of complications was lower than that of the control group,with statistically significant differences(P<0.05).Conclusion The use of the concept of rapid recovery in the perioperative period of elderly patients with inguinal hernia can alleviate pain,promote the early recovery of gastrointestinal function,reduce the length of hospital stay,reduce complications,and is worth applying in primary hospitals.

关键词

快速康复/基层医院/老年/腹股沟疝/手术

Key words

rapid recovery/primary hospital/elderly/inguinal hernia/surgery

分类

医药卫生

引用本文复制引用

金齐敏,柏涌海,俞璟滢,张援春,张丹,周明,杨雅..加速康复外科在基层医院老年腹股沟疝围术期的应用[J].临床研究,2024,32(7):135-137,3.

基金项目

上海市徐汇区医学重点学科建设(高峰学科)(SHXHZDXK202307). (高峰学科)

临床研究

2096-1278

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