快速康复外科(ERAS)在妇科良性病变腹腔镜手术中的应用  

Application of Rapid Rehabilitation Surgery(ERAS)in Laparoscopic Surgery of Gynecological Benign Lesions

作　　者：陈亚行 杨丽娜[1] 王立[1] 逯庆玲 吴军[2] 于海燕[3] CHEN Yaxing;YANG Lina;WANG Li;LU Qingling;WU Jun;YU Haiyan(Department of Obstetrics and Gynecology,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China;Department of Anesthesiology,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China;Health Management Center,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China)

机构地区：[1]黑龙江省医院妇产科,黑龙江哈尔滨150036 [2]黑龙江省医院麻醉科,黑龙江哈尔滨150036 [3]黑龙江省医院健康管理中心,黑龙江哈尔滨150036

出　　处：《中外医疗》2021年第19期29-32,共4页China & Foreign Medical Treatment

基　　金：黑龙江省卫生健康委科研课题(2019-137)。

摘　　要：目的研究评估快速康复外科(ERAS)在妇科良性病变腹腔镜手术中的应用。方法随机选取2019年8月—2020年8月该院因良性病变拟行腔镜手术的妇科患者共计75例,利用电脑随机抽样方法,将其划分为观察组50例与对照组25例,其中对照组患者接受围术期常规干预,观察组患者接受围术期快速康复外科干预,对比两组患者的禁食时间、首次排气时间、首次下床时间、术后住院时间、焦虑度、满意度、依从性情况。结果在禁食时间、首次排气时间、首次下床时间、术后住院时间对比中,观察组均低于对照组,组间对比差异有统计学意义(t=21.891、21.236、5.752、8.049,P<0.001),证实差异性存在;观察组与对照组在干预前,SAS评分差异无统计学意义(t=0.951,P=0.345);干预后,观察组与对照组得到明显改善,且观察组效果更佳,两组比较差异有统计学意义(t=6.184,P<0.001);观察组临床满意度98.00%,对照组临床满意度72.00%,两组相比观察组优势显著,组间对比差异有统计学意义(χ^(2)=9.252,P=0.002);观察组治疗依从性为98.00%,对照组治疗依从性68.00%,观察组优势作用显著,组间对比差异有统计学意义(χ^(2)=11.505,P<0.001)。结论在妇科良性病变腹腔镜手术中,采用快速康复外科干预,可缩短患者的术后禁食时间、下床活动时间、首次排气时间以及住院时间,使患者尽早恢复,提高临床服务满意度,强化患者的治疗依从性,具有较高的临床应用价值。Objective To study and evaluate the application of Rapid Rehabilitation Surgery(ERAS)in laparoscopic surgery for benign gynecological diseases.Methods A total of 75 gynecological patients in thehospital who were scheduled to undergo laparoscopic surgery for benign lesions from August 2019 to August 2020 were randomly selected.Using computer random sampling methods,they were divided into an observation group of 50 cases and a control group of 25 cases,of which the control group patients received perioperative routine interventions.Patients in the observation group received perioperative rapid rehabilitation surgical interventions.The fasting time,first exhaust time,first out of bed time,postoperative hospital stay,anxiety,satisfaction,and compliance were compared between the two groups.Results In the comparison of fasting time,first exhaust time,first getting out of bed,and postoperative hospital stay,the observation group was lower than the control group,and compared between groups,the difference was statistically significant(t=21.891,21.236,5.752,8.049,P<0.001);before the intervention,the observation group and the control group,the SAS score difference was not statistically significant(t=0.951,P=0.345);after the intervention,the observation group and the control group get significant Improvement,and the observation group has better results.The comparison between the two groups shows the difference was statistically significant(t=6.184,P<0.001);the clinical satisfaction of the observation group was 98.00%,and the clinical satisfaction of the control group was 72.00%.The two groups had significant advantages compared with the observation group,the difference was statistically significant(χ^(2)=9.252,P=0.002);the treatment compliance of the observation group was 98.00%,and the treatment compliance of the control group was 68.00%.The observation group had a significant advantage.The comparison between the two groups shows the difference was statistically significant(χ^(2)=11.505,P<0.001).Conclusion In the laparosc

关 键 词：快速康复外科 妇科良性病变 腹腔镜手术 临床效果 

分 类 号：R713[医药卫生—妇产科学]