摘要：目的：探讨加速康复外科联合腹腔镜探查术在胆总管结石治疗中的临床效果分析。方法:选取2017年11月至2019年12月在我院进行胆结石治疗的60例患者为研究对象，根据随机数字表法将其分为观察组30例和对照组30例，患者均采用腹腔镜探查术治疗，其中对照组采用传统围手术期模式处理，观察组采用加速康复外科理念进行围手术期处理，比较两组患者的术中指标（手术时间、出血量、输液量）、术后指标（肛门排气时间、首次下床活动时间、总住院时间）、不良反应发生率以及术后情绪、疼痛评分。结果：干预后，两组患者的手术时间、出血量、输血量无显著差异（P＞0.05）；观察组患者肛门排气时间、首次下床活动时间、引流管拔除时间与对照组相比明显减少，差异具有统计学意义（P＜0.05）；观察组患者术后出现感染、剧烈疼痛、呕吐等不良反应的发生率的发生率为23.3%明显低于对照组50%，差异具有统计学意义（P＜0.05）；观察组患者术后不良情绪评分、疼痛评分均与对照组相比明显降低，差异具有统计学意义（P＜0.05）。结论:?加速康复外科联合腹腔镜探查术治疗胆总管结石，可明显改善患者术后相关指标，降低不良反应的发生率，改善不良情绪，值得在临床进行推荐。

Abstract: Objective: To investigate the clinical effect of accelerated rehabilitation surgery combined with laparoscopic exploration in the treatment of common bile duct stones.Methods: 60 patients with gallstones treated in our hospital from November 2017 to December 2019 were selected as the research objects. According to the random number table method, they were divided into observation group (30 cases) and control group (30 cases). The control group was treated with the traditional perioperative mode, while the observation group was treated with the concept of accelerated rehabilitation surgery. The intraoperative indicators (operation time, bleeding volume, infusion volume), postoperative indicators (anal exhaust time, first ambulation time, total hospital stay) and adverse reactions were compared between the two groups. The rate of birth and the scores of emotion and pain after operation.Results: After intervention, there was no significant difference in operation time, blood loss and blood transfusion between the two groups (P > 0.05); the time of anal exhaust, the first time out of bed and the time of drainage tube removal in the observation group were significantly reduced compared with the control group, and the difference was statistically significant (P < 0.05); the patients in the observation group had infection and vomiting after operation (P < 0.05). The incidence of adverse reactions was 23.3% lower than 50% in the control group, with statistical significance (P < 0.05); the scores of adverse emotions and pain in the observation group were significantly lower than those in the control group, with statistical significance (P < 0.05).Conclusion: Accelerated rehabilitation surgery combined with laparoscopic exploration in the treatment of common bile duct stones can significantly improve the postoperative indicators, reduce the incidence of adverse reactions and improve bad mood, which is worthy of clinical recommendation.