目的 探讨急腹症腹腔镜探查术中应用快速康复外科理念的应用研究。 方法 入选我院2014年3月-2015年3月接受腹腔镜手术治疗的急腹症患者300例，按随机数字表法分为对照组合治疗组，各组150例，对照组采用传统的围手术期治疗和护理，治疗组围手术期采取FTS（快速康复外科）措施，比较两组病人术前当天、术后第1、3天降钙素原（PCT）测定值变化情况；比较两组病人术后肛门排气排便时间、术后进食时间、术后静脉输液时间、住院天数、住院费用及术后并发症发生情况。结果 两组术前当天PCT指标无显著差异，治疗组病人术后第1、3天降钙素原（PCT）显著优于对照组，差异有统计学意义（P<0.05）；治疗组术后肛门排气排便时间、术后进食时间、术后静脉输液时间、住院天数、住院费用等指标显著优于对照组，差异有统计学（P<0.05）；治疗组、对照组的术后并发症发生率分别为2.0%、16.0%，差异有统计学意义（P<0.05）。 结论 急腹症腹腔镜探查术患者进行快速康复外科措施，可提高治愈率，减少术后并发症、缩短住院时间、降低住院费用，值得临床推广。

Objective: To discuss the application of fast track surgery (FTS) in the acute?abdomen laparoscopic?exploration surgery. Methods: 300 patients of acute abdomen diseases receiving the treatment of laparoscopic exploration surgery in our hospital from March 2014 to March 2015 were divided into the control group and the treatment group by the method of random number table, with 150 patients in each group. The control group received the traditional perioperative treatment and nursing while the treatment group adopted FTS measures. PCT changes of the measured values between two groups at the same day before surgery, the first day, and the third day after surgery were compared. The duration of postoperative flatus,?bowel movement, feeding, and venous transfusion, hospital stay, hospitalization costs and postoperative complications were compared between two groups. Results: PCT indexes between the two groups on the same day before surgery were of no significant difference. The PCT of the treatment group was better than that of the control group at the first day and the third day after surgery, and the difference was of statistical significance(P <0.05). The indexes of the treatment group including the duration of postoperative flatus,?bowel movement, feeding, and venous transfusion, hospital stay, and hospitalization costs were better than those of the control group, and the difference was of statistical significance (P <0.05). The rates of postoperative complications of the treatment group and the control group were respectively 2.0% and 16.0%, and the difference was of statistical significance(P <0.05). Conclusion: When fast track surgery is applied to patients of the acute?abdomen laparoscopic?exploration surgery, the curative rate is greatly improved, the postoperative complications are reduced, the hospital stay is shortened, and the hospitalization costs are reduced. Therefore, it is worth clinical expansion.