加速康复外科在腹腔镜肾上腺肿瘤患者术后早期活动中的应用  

Application of enhanced recovery after surgery in early postoperative activities of patients with adrenal tumors after laparoscopic

作　　者：周桂芬[1] 梁秋梅[1] 黄佩绿[1] 陆彬[1] 黎雪[1] 秦梅彬 Zhou Guifen;Liang Qiumei;Huang Peiluy;Lu Bin;Li Xue;Qin Meibin(Department of Urology,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院泌尿外科,南宁530021

出　　处：《广西医科大学学报》2020年第4期767-771,共5页Journal of Guangxi Medical University

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费研究课题资助项目(No.Z20180946)。

摘　　要：目的:探讨加速康复外科在腹腔镜肾上腺肿瘤患者术后早期活动中的应用。方法:选取2018年4月至2019年10月广西医科大学第一附属医院泌尿外科100例经腹腔入路腹腔镜肾上腺肿瘤切除术患者作为研究对象,按随机数字表法分为实验组和对照组,每组50例。对照组采用手术后常规活动指导,实验组运用加速康复外科理念,术后早期活动给予规范化指导。比较两组患者首次下床活动时间、首次进食时间、术后输液时间、术后住院时间、术后24 h疼痛视觉模拟评分法(VAS)评分、患者住院费用、激素使用与首次下床活动的关系、并发症发生情况及住院满意度。结果:实验组首次下床活动时间、首次进食时间、术后输液时间、术后住院时间明显短于对照组,术后并发症发生率、术后24 h疼痛VAS评分及住院费用明显低于对照组,住院满意度高于对照组(P<0.05);两组患者激素使用对患者首次下床活动无明显影响(P>0.05)。结论:加速康复外科在腹腔镜肾上腺肿瘤患者术后早期活动给予规范化指导能够缩短住院时间,减少住院费用,促进患者康复;术中、术后使用激素对腹腔镜肾上腺肿瘤患者术后早期活动无明显影响。Objective: To investigate the application of enhanced recovery after surgery(ERAS)in early postoperative activities of patients with adrenal tumors after laparoscopic resection.Methods: 100 patients with adrenal tumors who underwent laparoscopic resection in the Department of Urology of the First Affiliated Hospital of Guangxi Medical University from April 2018 to October 2019 were recruited as research subjects.The subjects were divided into an experimental group and a control group using a random number table,with 50 cases in each group.The control group was given routine guidance on postoperative mobilization,while the experimental group received standardized mobilization guidance based on ERAS protocols.The time of first bed-off activity,time of first meal,time of postoperative infusion,time of stay in hospital,the visual analogue scale(VAS)score after 24 h of post-surgery,the cost of hospitalization,the relation between the use of hormones and time of first bed-off activity,the incidence of compilations,and the satisfaction with hospitalization were compared between the two groups.Results: The time of first bed-off activity,time of first meal,time of postoperative infusion,and time of stay in hospital in the experimental group were significantly shorter than those in the control group.The incidence of complications,VAS score at 24 h post-surgery,and cost of hospitalization in the experimental group were significantly lower than those in the control group.The satisfaction with hospitalization in the experimental group was higher than the control group(P<0.05).Hormone use in the two groups had no significant effect on the time of first bed-off activity(P>0.05).Conclusion: Standardized mobilization guidance based on ERAS protocols can shorten the time of hospital stay,reduce the cost of hospitalization,and promote rehabilitation of patients with adrenal tumors after laparoscopic resection.The use of hormones during and after surgery has no obvious effects on early postoperative mobilization of patients with adr

关 键 词：加速康复外科 肾上腺肿瘤 早期活动 

分 类 号：R473.73[医药卫生—护理学]