加速康复外科护理在不孕症宫腹腔镜联合手术围手术期的应用  

Application of enhanced recovery after surgery nursing for infertility women undergoing hysteroscopy combined laparoscopy

作　　者：庄曼丽[1] 林婉萍[2,3] 何泓 ZHUANG Man-li;LIN Wan-ping;HE Hong(Department of Operating Theatre,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,Guangdong,China;Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,Guangdong,China;Guangzhou Institute of Obstetrics and Gynecology,Guangzhou 510150,Guangdong,China)

机构地区：[1]广州医科大学附属第三医院手术室,广东广州510150 [2]广州医科大学附属第三医院妇产科,广东广州510150 [3]广州妇产科研究所,广东广州510150

出　　处：《加速康复外科杂志》2020年第1期28-30,共3页JOURNAL OF ENHANCED RECOVERY AFTER SURGERY

基　　金：国家自然科学基金青年科学基金项目(81701415);广州市荔湾区科技计划项目(20190120)。

摘　　要：目的:探讨加速康复外科(enhanced recovery after surgery,ERAS)护理在不孕症患者围手术期的应用效果。方法:选取2018年1月至2019年1月本院收治的412例拟行宫腹腔镜联合手术的女性不孕症患者为研究对象,随机分为对照组(n=212)和ERAS组(n=200),对照组给予常规护理,ERAS组行加速康复护理干预。观察两组患者在住院期间的治疗和恢复情况、护理工作满意程度。结果:ERAS组患者入院等待手术时间、术后住院时间、恢复下床活动时间、恢复正常饮食时间及肛门排气时间均短于对照组,护理工作满意度较高,差异均有统计学意义(均P<0.05)。结论:ERAS护理可缩短不孕症患者住院时间,促进术后康复,提高患者对护理的满意度。Objective:To explore the safety and effectiveness of nursing measures based on the concept of enhanced recovery after surgery(ERAS)for infertility women undergoing hysteroscopy combined laparoscopy.Methods:A total of 412 cases of infertility patients admitted to our hospital from January 2018 to January 2019 were selected as subjects.They were divided into ERAS group(200 cases)and control group(212 cases)according to the random number table method.Patients in the ERAS group were given the nursing measures based on the concept of ERAS,and patients in the control group were given the traditional nursing measures.The hospitalization time,6 hour postoperative nausea and vomiting rate,satisfaction of postoperative pain control and nursing service were compared between the two groups.Results:The hospitalization time,time to get out of bed,time to return to normal diet and time to anal exhaust in the ERAS group were all shorter than those in the control group,the hospitalization time was shorter than that in the control group,and the differences were statistically significant(P<0.05).The satisfaction of nursing service in the ERAS group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:Nursing measures based on the concept of ERAS can be safely applied to infertility surgery,which can significantly shorten hospitalization time,reduce the postoperative complications,and promote postoperative recovery.

关 键 词：不孕症 宫腹腔镜联合手术 加速康复外科护理 

分 类 号：R473.71[医药卫生—护理学]