Safety and efficacy of fast track surgery in the repair of the emergency upper gastrointestinal perforation
10.3760/cma.j.issn.1008-6706.2015.03.032
- VernacularTitle:快速康复外科技术在上消化道穿孔急诊修补术中的应用
- Author:
Fengwei CHEN
- Publication Type:Journal Article
- Keywords:
Upper digestive tract perforation;
Fast track surgery
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;22(3):416-418
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and effect of fast track surger (FTS) y in repair of upper digestive tract perforation in emergency department.Methods According to the digital table,64 patients with upper digestive tract perforation were randomly divided into the observation group (n =34) and control group (n =30).The control group received conventional perioperative treatment.The patients in the observation group were given related processing of perioperation under the guidance of the concept of fast track surgery.The C reactive protein (CRP) level preoperation,postoperative 1 day,postoperative 3 days,postoperative incidence of adverse reaction and complications,exhaust defecation time,hospital stay and cost of hospitalization were compared between the two groups.Results Postoperative 1 day and 3 days,the CRP levels of observation group were (85.8 ± 17.5)mg/L and (67.1 ±15.6) mg/L,which were significantly lower than (112.4 ± 12.9) mg/L and (92.7 ± 25.4) mg/L of the control group (t =1.043,3.189,all P ＜ 0.05).After operation,the appeared exhaust defecation time,total length of hospital stay in the observation group were (54.6 ± 5.3) h,(66.2 ± 4.8) h and (4.1 ± 0.5) d,which were significantly shorter than those of the control group (t =2.534,3.013,2.252,all P ＜ 0.05).The cost of hospitalization of the observation group was (5 900 ± 300) thousand,which was significantly less than (7 000 ± 800) thousand of the control group (t =1.641,P ＜ 0.05).No significant differences between the two groups in appeared probability adverse reaction and complication after operation (P ＞ 0.05).Conclusion FTS in the repair of emergency upper gastrointestinal perforation is safe,economic,effective,and can accelerate the progress of rehabilitation.
