快速康复外科技术用于腹腔镜子宫全切术围术期的有效性分析  

Analysis of the Effectiveness of Rapid Rehabilitation Surgery Technique in Perioperative Period of Laparoscopic Hysterectomy

作　　者：殳榴萍[1] 冯锡 夷轶 SHU Liuping;FENG Xi;YI Yi(Wujin Hospital Affiliated to Jiangsu University,Wujin Clinical College of Xuzhou Medical University,Changzhou,Jiangsu Province,213000 China;Department of Gynecology,Wujin People's Hospital,Changzhou,Jiangsu Province,213000 China)

机构地区：[1]江苏大学附属武进医院,徐州医科大学武进临床学院,江苏常州213000 [2]武进人民医院妇科,江苏常州213000

出　　处：《中外医疗》2021年第13期37-39,共3页China & Foreign Medical Treatment

摘　　要：目的分析腹腔镜子宫全切术围术期实施快速康复外科技术的临床效果。方法方便选取该院于2016年12月—2019年12月期间进行腹腔镜子宫全切术患者80例,以随机数表法的形式将其平均分为研究组和参照组,各40例。参照组行常规基础的围术期干预,研究组行快速康复外科技术,对比术后两组恢复情况、术后不同时间段两组疼痛评分以及并发症发生率,满意率。结果研究组气管拔管时间、首次排气时间、住院时间均短于参照组,术后6、12、24 h疼痛评分均低于参照组,且研究组总并发症发生率低于参照组,组间比较差异有统计学意义(P<0.05)。研究组患者满意率(92.50%)高于参照组(70.00%),差异有统计学意义(χ^(2)=6.646,P<0.05)。结论腹腔镜子宫全切术围术期实施快速康复外科技术,有利于各项指标尽快恢复,且缓解了疼痛,减少并发症的产生,提高了患者的满意率,值得在临床上广泛推广和应用。Objective To analyze the clinical effect of perioperative rapid rehabilitation surgical techniques in laparoscopic total hysterectomy.Methods Eighty patients who underwent laparoscopic hysterectomy in the hospital from December 2016 to December 2019 were conveniently selected and divided into the study group and the reference group in the form of a random number table,each with 40 cases.The reference group underwent routine-based perioperative intervention,and the study group underwent rapid rehabilitation surgical techniques to compare the recovery of the two groups after surgery,the pain scores of the two groups at different time periods after surgery,the rate of complication,and the satisfaction rate.Results The study group's tracheal extubation time,first exhaust time,and hospital stay were shorter than those of the reference group,the pain scores at 6,12,and 24 h after surgery were lower than those of the reference group,and the total complication rate of the study group was lower than that of the reference group.The difference between the two groups was statistically significant(P<0.05).The patient satisfaction rate of the study group(92.50%)was higher than that of the reference group(70.00%),and the difference was statistically significant(χ^(2)=6.464,P<0.05).Conclusion The perioperative implementation of rapid recovery surgical techniques during laparoscopic total hysterectomy is conducive to the recovery of various indicators as soon as possible,and relieves pain,reduces the occurrence of complications,improves the satisfaction rate of patients,and is worthy of widespread clinical promotion and application.

关 键 词：快速康复外科技术 腹腔镜 子宫全切术 临床效果 

分 类 号：R713[医药卫生—妇产科学]