• Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
MAHong-sheng, Email: mahongsheng63@163.com
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Objective To explore the role of fast-track surgery (FTS) in day-case laparoscopic cholecystectomy (DLC) pain management. Methods We used bidirectional cohort study to investigate the patients undergoing day surgery of laparoscopic cholecystectomy admitted into our department. A total of 143 patients between April and September 2014 receiving routine pain management were chosen to be the control group, and 78 patients between October 2014 and January 2015 receiving FTS pain management were regarded as the FTS group. Postoperative pain, early ambulation, influence of pain on the sleep, patients' satisfaction and prolonged hospital stay rate were compared between the two groups. Results Pain scores of patients in the FTS group 0-0.5, 0.5-6, 6-12, and 12-24 hours after surgery were significantly lower than those in the control group (P<0.05). The proportion of patients with early postoperative ambulation and patients' satisfaction rate in the FTS group were significantly higher than the control group (P<0.05). Conclusion The FTS pain management model can effectively reduce patients' pain after DLC, accelerate patients' postoperative rehabilitation and increase patients' satisfaction.

Citation: LIZhi-chao, WANGYu, WANGXiao-cheng, LIUYang, MAHong-sheng. Application of Pain Management Based on Fast-track Surgery for Patients Undergoing Day Surgery of Laparoscopic Cholecystectomy. West China Medical Journal, 2015, 30(5): 804-807. doi: 10.7507/1002-0179.20150230 Copy

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