作者：林华英，刘晓露，陈玲，张华玉，蔡艺玲，张鸣青

单位：联勤保障部队第909医院 消化内科，福建 漳州363000

Authors: Lin Huaying, Liu Xiaolu, Chen Lin, Zhang Huayu, Cai Yiling, Zhang Mingqing

Unit: Digestive Internal Medicine, 909 Hospital of Joint Logistics Team, Zhangzhou 363000, Fujian, China

摘要：

目的 分析加速康复外科理念在内镜下胃息肉切除术中的应用价值。方法 回顾性分析联勤保障部队第909医院2016年1月至2018年1月收治的257例胃息肉患者临床资料,观察组121例行加速康复外科理念下胃息肉切除术;对照组136例行常规胃息肉切除术。结果 观察组术后恶心呕吐、腹胀、腹痛指标优于对照组(P<0.05),差异有统计学意义;观察组手术时间、术中出血量、住院时间、住院费用指标优于对照组(P<0.05),差异有统计学意义;两组患者术后胃出血、胃穿孔指标差异无统计学意义(P>0.05)。结论 加速康复外科理念下行胃息肉切除术能加快患者康复速度、降低术后并发症、节约医疗资源。

关键词：加速康复外科; 胃息肉; 内镜; 应用价值

Abstract：

Objective To analyze the application value of the concept of enhance recovery after surgery (ERAS)in endoscopic gastric polypectomy. Methods The clinical data of 257 patients with gastric polyps admitted to the 909 hospital of Joint Logistics Team from January 2016 to January 2018 were retrospectively analyzed. In the observation group, 121 patients underwent gastric polypectomy with the concept of ERAS. Control group 136 cases with conventional methods. Results The indexes of postoperative nausea, vomiting, abdominal distension and abdominal pain in the observation group were better than those in the control group (P<0.05). The observation group was superior to the control group in terms of operation time, intraoperative blood loss, length of stay and hospitalization cost(P<0.05). There was no significant difference in postoperative gastric bleeding and perforation between the two groups(P>0.05). Conclusion The concept of ERAS can speed up the rehabilitation, reduce postoperative complications and save medical resources for patients with gastric polyps.

Key Words: Enhance recovery after surgery; Gastric polyps; Endoscope; Application value