| 傅晓青.中西医结合术后加速康复理念在肺外科围手术期的干预研究[J].浙江中西医结合杂志,2019,29(9): |
| 中西医结合术后加速康复理念在肺外科围手术期的干预研究 |
| A Study of the Effect of Enhanced Recoverary After Sugery with Integrated Traditional Chinese and Western Medicine in Perioperative Period of Lung Surgery |
| 投稿时间：2019-04-17 修订日期：2019-07-23 |
| DOI： |
| 中文关键词: 肺外科，中西医结合，围手术期，加速康复外科 |
| 英文关键词:Lung surgery, Integrative Medicine, Perioperative Period, Enhanced Recoverary After Sugery |
| 基金项目:浙江省中医药科技计划青年人才基金项目（2017ZQ022) |
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| 中文摘要: |
| 目的 本课题旨在探讨中西医结合术后加速康复（enhanced recovery after surgery，ERAS）在肺外科手术围手术期中应用的可行性和安全性。方法 观察2016年10月到2019年1月接受胸腔镜下肺叶部分切除术的患者130例，随机分为3组，即中医组、改进组、对照组。记录并比较三组患者的一般资料、手术情况、术后疼痛评分（visual analogue scale，VAS）、胸引管留置时间、拔管后再胸穿率、术后并发症发生率、术后中西医结合围手术期康复量表评分、术后住院时间。结果 三组术后并发症发生率无明显差异，中医组、改进组胸管引流时间、术后住院时间、术后第4-7日VAS评分较对照组明显改善；中医组在术后第7天中西医结合围手术期康复量表条目6、9、11上较改进组和对照组明显改善。结论 肺外科围手术期应用中西医结合术后加速康复理念管理，能缩短胸引管留置时间、减轻术后疼痛、缩短术后住院时间、改善临床症状，临床安全性可靠，有助于患者术后康复。 |
| 英文摘要: |
| Objective This study aims to explore the feasibility and safety of the application of enhanced recovery after surgery (ERAS) in perioperative period of lung surgery. Methods 130 patients undergoing thoracoscopic partial lobectomy from October 2016 to January 2019 were randomly divided into 3 groups, namely Chinese medicine group, improvement group, and control group. The general data, operation situation, postoperative pain score (VAS), chest tube indwelling time, thoracic puncture rate after extubation, incidence of post-operative complications, score of perioperative rehabilitation scale of combined traditional Chinese and Western medicine, and post-operative hospitalization time were recorded and compared among the three groups. Results There was no significant difference in the incidence of complications among the three groups. The time of thoracic drainage, hospitalization and VAS score of group Chinese medicine and improvement were significantly improved compared to group control. The items 6, 9 and 11 of the perioperative rehabilitation scale of group Chinese medicine on the 7th day after operation were significantly improved compared to those of group improvement and control. Conclution In perioperative period of lung surgery, the concept of ERAS with integrated traditional Chinese and Western medicine can shorten the retention time of thoracic duct, reduce postoperative pain, shorten the time of hospitalization, improve clinical symptoms, and be reliable in clinical safety and help the patients recovery after operation. |
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