ERAS对肝外胆管结石患者术后早期炎症反应的影响

Effect of ERAS on early postoperative inflammatory response in patients with extrahepatic cholangiolithiasis

摘要:

目的探讨加速康复外科(ERAS)对肝外胆管结石患者术后早期炎症反应的影响。方法将90例行腹腔镜胆囊切除术+胆总管切开取石+T管引流术患者按围手术期的处理方法不同分为ERAS组和对照组。比较两组患者围手术期炎症指标及疗效。结果两组患者术后炎症指标水平较术前升高,但ERAS组炎症指标升高的程度低于对照组(P＜0.05)。ERAS组术后排气、排便时间早于对照组,住院天数、恶心呕吐发生率、术后疼痛强度均低于对照组(P＜0.05)。结论加速康复外科能减轻术后早期炎症反应的发生,有利于患者的康复。

Abstract:

To explore the effect of enhanced recorvery after surgery(ERAS) on early postoperative inflammatory response in patients with extrahepatic cholangiolithiasis. MethodsNinety patients who underwent laparoscopic cholecystectomy + choledocholithotomy + T tube drainage were divided into ERAS group and control group according to different perioperative management methods. Perioperative inflammatory indexes and efficacy were compared between the two groups. ResultsThe levels of inflammatory indexes in the two groups after surgery were higher than those before surgery, but the degree of inflammatory indexes in the ERAS group was lower than that in the control group(P＜0.05). The time of postoperative exhaust and defecation in the ERAS group was earlier than that in the control group, and the days of hospitalization, the incidence of nausea and vomiting, and the intensity of postoperative pain were lower than those in the control group(P＜0.05). ConclusionERAS can reduce the occurrence of early postoperative inflammatory response, which is beneficial to the rehabilitation of patients.