妇科单孔腹腔镜术后早期行走对快速康复的影响  

Effect of early walking after gynecological single incision laparoscopic surgery on rapid recovery

作　　者：吕淞[1] 吴小芳 邓青春 林卫欣 张湘香 LYU Song;WU Xiao-fang;DENG Qing-chun;LIN Wei-xin;ZHANG Xiang-xiang(Department of Anesthesiology,Second Affiliated Hospital of Hainan Medical College,Haikou Hainan 570311,China;Department of Gynecology,Second Affiliated Hospital of Hainan Medical College,Haikou Hainan 570311,China)

机构地区：[1]海南医学院第二附属医院麻醉科,海南海口570311 [2]海南医学院第二附属医院妇科,海南海口570311

出　　处：《局解手术学杂志》2021年第5期446-449,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：海南省卫生厅科研基金(20A200026)。

摘　　要：目的探讨单孔腹腔镜术后早期行走对非切口疼痛和快速康复的影响。方法选择我院60例患者,分成对照组、坐位组、行走组,每组20例。记录并比较3组患者出恢复室后0.5 h、2 h、4 h、6 h、8 h、10 h及12 h的VAS评分,比较3组患者要求使用镇痛药物的时间及排气时间。结果行走组术后0.5 h与术后2 h、4 h、6 h、8 h的VAS评分组内比较,差异有统计学意义(P<0.05)。术后各时间点3组VAS评分组间比较,差异无统计学意义(P>0.05)。行走组术后8 h内的VAS评分累计值低于坐位组和对照组,差异有统计学意义(P<0.05)。各组要求使用镇痛药物的时间比较,差异无统计学意义(P>0.05)。行走组排气时间明显早于对照组和坐位组,差异有统计学意义(P<0.05)。结论术后早期行走可降低患者疼痛程度,促进排气,有利于快速康复。Objective To investigate the effect of early walking after single incision laparoscopic surgery on non-incision pain and rapid recovery.Methods A total of 60 patients in our hospital were divided into the control group,the sitting group and the early walking group with 20 patients in each group.VAS scores at 0.5 hours,2 hours,4 hours,6 hours,8 hours,10 hours and 12 hours after leaving the recovery room were recorded and compared among the 3 groups,and the time required to use analgesics and the exhaust time were compared among the 3 groups.Results The VAS scores of the walking group at 0.5 hours after surgery were compared with those at 2 hours,4 hours,6 hours and 8 hours after surgery,and the differences were statistically significant(P<0.05).There was no significant difference in VAS scores among the 3 groups at each time point(P>0.05).The cumulative VAS score of the walking group was lower than that of the sitting group and the control group within 8 hours after surgery,and the difference was statistically significant(P<0.05).There was no statistical significance in terms of the time required to use analgesics among the 3 groups(P>0.05).The exhaust time of the walking group was significantly earlier than that of the control group and the sitting group,and the differences were statistically significant(P<0.05).Conclusion Early walking after surgery can reduce the patient’s pain degree and promote the exhaust,which is conducive to rapid recovery.

关 键 词：单孔腹腔镜手术 早期行走 快速康复 非切口痛 排气时间 

分 类 号：R614[医药卫生—麻醉学]