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Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension
- Chinese Journal of Integrative Medicine Vol. 21, Issue 10, Pages: 784-790(2015)
- Affiliations：
1. Xiangya Hospital of Central South University,Changsha,China
2. Hepatobiliary Gland Surgery of Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,China
3. Minimally Invasive Center of First Affiliated Hospital of Guangxi Medical University,Nanning,China
4. Department of Radiotherapy, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,China
- Author bio：
- Funds：
DOI：10.1007/s11655-015-2317-9
CLC：Published：2015，
Published Online：3 November 2015，
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Wei, Yn., Li, Nf., Cai, Xy. et al. Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension., Chin. J. Integr. Med. 21, 784–790 (2015). https://doi.org/10.1007/s11655-015-2317-9
Yang-nian Wei, Nian-feng Li, Xiao-yong Cai, et al. Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension. [J]. Chinese Journal of Integrative Medicine 21(10):784-790(2015)
Wei, Yn., Li, Nf., Cai, Xy. et al. Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension., Chin. J. Integr. Med. 21, 784–790 (2015). https://doi.org/10.1007/s11655-015-2317-9 DOI：
Yang-nian Wei, Nian-feng Li, Xiao-yong Cai, et al. Clinical application of fast-track surgery with Chinese medicine treatment in the devascularization operation for cirrhotic portal hypertension. [J]. Chinese Journal of Integrative Medicine 21(10):784-790(2015) DOI： 10.1007/s11655-015-2317-9.
摘要
To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013
and randomly assigned to a conventional group and a fast-track group (fast-track surgery combined with Chinese medicine treatment) using a randomized digital table
36 cases in each group. Operation and anesthesia recovery time
postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Compared with the conventional group
the fast-track group had longer operation time (253.6±46.4 min vs. 220.6±51.0 min) and anesthesia recovery time (50.5±15.9 min vs. 23.5±9.6 min; P<0.01); less bleeding (311.3±46.8 mL vs. 356.2±57.5 mL; P<0.01) and less transfusion (1932.3±106.9 mL vs. 2045.6±115.4 mL; P<0.01); as well as faster recovery of gastrointestinal function
shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.
Abstract
To investigate the clinical effect of fast-track surgery combined with Chinese medicine treatment in devascularization operation for cirrhotic esophageal varices. Seventy-two patients with cirrhotic esophageal varices were selected from January 2009 to June 2013
and randomly assigned to a conventional group and a fast-track group (fast-track surgery combined with Chinese medicine treatment) using a randomized digital table
36 cases in each group. Operation and anesthesia recovery time
postoperative hospitalization and quality of life were recorded and compared between groups during the perioperative period. Compared with the conventional group
the fast-track group had longer operation time (253.6±46.4 min vs. 220.6±51.0 min) and anesthesia recovery time (50.5±15.9 min vs. 23.5±9.6 min; P<0.01); less bleeding (311.3±46.8 mL vs. 356.2±57.5 mL; P<0.01) and less transfusion (1932.3±106.9 mL vs. 2045.6±115.4 mL; P<0.01); as well as faster recovery of gastrointestinal function
shorter postoperative hospitalization and higher quality of life. There were no serious postoperative complications and no further bleeding occurred. Fast-track surgery combined with Chinese medicine treatment is a safe and feasible approach to accelerate the recovery of patients with cirrhotic portal hypertension in perioperative period of devascularization operation.
关键词
fast-track surgeryChinese medicine treatmentcirrhotic esophageal varicessplenectomyportal-azygous disconnection
Keywords
fast-track surgeryChinese medicine treatmentcirrhotic esophageal varicessplenectomyportal-azygous disconnection
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