本文選題：癌 + 肝細(xì)胞��； 參考：《中國(guó)普通外科雜志》2017年02期

【摘要】：目的:探討加速康復(fù)外科理念(ERAS)在原發(fā)性肝癌肝切除術(shù)圍手術(shù)期應(yīng)用的優(yōu)越性。方法:將2015年7月—2016年6月收治的81例原發(fā)性肝癌肝切除術(shù)患者按照隨機(jī)數(shù)字表法分成ERAS組(n=40)和對(duì)照組(n=41),ERAS組采用ERAS理念進(jìn)行圍手術(shù)期處理,對(duì)照組采用傳統(tǒng)圍手術(shù)期處理,比較兩組患者的相關(guān)臨床指標(biāo)。結(jié)果:兩組患者術(shù)前一般資料無(wú)明顯差異(均P0.05)。兩組患者的手術(shù)方式、手術(shù)時(shí)間、術(shù)中出血量、術(shù)后并發(fā)癥情況均無(wú)明顯差異(均P0.05),但ERAS組術(shù)后肛門(mén)排氣排便時(shí)間、術(shù)后NRS評(píng)分、術(shù)后引流管拔除時(shí)間、術(shù)后住院時(shí)間均明顯優(yōu)于對(duì)照組(均P0.05)。所有患者術(shù)后隨訪(fǎng)1~2個(gè)月,無(wú)出院30 d內(nèi)再次住院或手術(shù)病例。結(jié)論:ERAS理念應(yīng)用于肝癌肝切除術(shù)患者圍手術(shù)期的管理安全有效,能加快患者術(shù)后恢復(fù)。
[Abstract]:Objective: to evaluate the advantages of accelerated rehabilitation surgery (ERASS) in the perioperative period of hepatectomy for primary liver cancer (HCC). Methods: 81 patients with primary liver cancer underwent hepatectomy from July 2015 to June 2016 were randomly divided into two groups: ERAS group (n = 40) and control group (n = 41). To compare the related clinical indexes between the two groups. Results: there was no significant difference in preoperative general data between the two groups (P 0.05). There was no significant difference between the two groups in the operation mode, operation time, intraoperative bleeding volume and postoperative complications (all P 0.05), but the postoperative anal exhaust and defecation time, postoperative NRS score, drainage tube extubation time were not significantly different in ERAS group. The postoperative hospitalization time was significantly better than that in the control group (P 0.05). All patients were followed up for 1 ~ 2 months and no cases were re-hospitalized or operated within 30 days after discharge. Conclusion it is safe and effective in perioperative management of liver cancer patients after liver resection by using the concept of Wirons, which can accelerate the postoperative recovery.
【作者單位】： 南昌大學(xué)第二附屬醫(yī)院肝膽外科;南昌大學(xué)第二附屬醫(yī)院胃腸外科;
【分類(lèi)號(hào)】：R735.7

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6 徐子s，

本文編號(hào)：2031658