不同ERAS措施依从率对全子宫切除术患者术后康复的影响  

Effects of different rates of compliance with enhanced recovery after surgery protocol on postoperative recovery in patients undergoing hysterectomy

作　　者：沈一维[1] 闵苏[1] 律峰[1] 金菊英[1] 吴刚明[1] Shen Yiwei;Min Su;Lyu Feng;Jin Juying;Wu Gangming(Department of Anesthesiology,First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China)

机构地区：[1]重庆医科大学附属第一医院麻醉科,400042

出　　处：《中华麻醉学杂志》2021年第3期270-273,共4页Chinese Journal of Anesthesiology

基　　金：国家临床重点专科建设项目(2011-170);中央引导地方科技发展专项资金创新项目(2019);"新晨杯"重庆市围手术期麻醉与ERAS科研培育项目(2018-MZ-2)。

摘　　要：目的评价不同加速康复外科(ERAS)措施依从率对全子宫切除术患者术后康复的影响。方法拟行全子宫切除术患者312例,年龄18~60岁,体重指数18~30 kg/m^(2),ASA分级Ⅰ~Ⅲ级,实施ERAS措施,按照依从率分为3组:依从率<70%组(A组)、70%≤依从率<85%组(B组)和依从率≥85%组(C组)。记录术后并发症发生情况、住院时间、患者满意度评分以及住院费用。结果与A组(n=88)和B组(n=118)比较,C组(n=96)患者术后总并发症发生率降低(P<0.05);患者出院当天及出院后30 d满意度评分A组<B组<C组(P<0.05)。结论ERAS措施依从率高有利于促进全子宫切除术患者术后康复。Objective To evaluate the effects of different rates of compliance with the enhanced recovery after surgery(ERAS)protocol on postoperative recovery in patients undergoing hysterectomy.Methods A total of 312 patients,aged 18-60 yr,with body mass index of 18-30 kg/m^(2),of American Society of Anesthesiologists physical statusⅠ-Ⅲ,scheduled for hysterectomy,were enrolled in the study.ERAS protocol was implemented.The patients were divided into 3 groups based on compliance rates:compliance rate<70%group(group A),70%≤compliance rate<85%group(group B)and compliance rate≥85%group(group C).The development of postoperative complications,hospitalization time,patients′satisfaction score and hospitalization cost were recorded.Results Compared with group A(n=88)and group B(n=118),the total incidence of complications was significantly decreased in group C(n=96)(P<0.05).The patients′satisfaction scores were gradually increased in A,B,and C groups on the day of discharge and at 30 days after discharge(P<0.05).Conclusions Higher compliance with the ERAS protocol is helpful for postoperative recovery in patients undergoing hysterectomy.

关 键 词：加速康复外科 康复 子宫切除术 

分 类 号：R473.71[医药卫生—护理学]