Analysis of the application effect of perioperative optimization scheme for cholecystectomy based on rapid rehabilitation surgery
基于快速康复外科的胆囊切除术围手术期优化方案应用效果分析

摘要

目的 构建并分析基于快速康复外科的胆囊切除术围手术期优化方案应用效果。方法 于2024年10月-2026年1月阿瓦提县人民医院行胆囊切除术的患者中选取36例，随机分为2组，18例对照组予以常规护理，18例干预组构建并实施基于快速康复外科的围手术期优化方案，对比2组手术并发症、术后康复效果。结果 干预组手术并发症发生率（5.56%）较对照组（33.33%）低（P＜0.05）；干预组术后首次排气、排便、进食与下床活动的时间及住院时长均比对照组短，且术后5d时的15项恢复质量评分量表（QOR-15）评分较对照组高（P＜0.05）。结论 在胆囊切除术患者中，构建并实施基于快速康复外科的围手术期优化方案可促进并发症减少，使术后康复效果进一步提升。

Abstract

Objective To construct and analyze the application effect of perioperative optimization plan for cholecystectomy based on rapid rehabilitation surgery.
Methods 36 patients who underwent cholecystectomy at Awati County People's Hospital from October 2024 to January 2026 were randomly divided into two groups. The control group (18 cases) received routine nursing care, while the intervention group (18 cases) received a perioperative optimization plan based on rapid rehabilitation surgery. The surgical complications and postoperative rehabilitation effects of the two groups were compared.
Results The incidence of surgical complications in the intervention group (5.56%) was lower than that in the control group (33.33%) (P<0.05); The intervention group had a shorter time for the first exhaust, defecation, eating, and getting out of bed activity after surgery, as well as a shorter length of hospital stay compared to the control group. Additionally, the 15 item recovery quality rating scale (QOR-15) score at 5 days after surgery was higher than that of the control group (P<0.05).
Conclusion   In patients undergoing cholecystectomy, constructing and implementing a perioperative optimization plan based on rapid rehabilitation surgery can promote the reduction of complications and further improve postoperative rehabilitation outcomes.