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作 者:齐欢欢 李长忠 QI Huan-huan;LI Chang-zhong(Department of Gynecology,Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250000,China)
机构地区:[1]山东第一医科大学附属省立医院妇科,山东济南250000
出 处:《中国实用妇科与产科杂志》2021年第11期1167-1169,共3页Chinese Journal of Practical Gynecology and Obstetrics
摘 要:目的评价妇科腹部手术后应用康妇消炎栓在加速康复中的临床治疗效果。方法选取2019年05月至12月山东第一医科大学附属省立医院妇科一病房住院的90例妇科腹部择期手术患者,随机分为常规加速康复外科(ERAS)路径基础上加用康妇消炎栓组(观察组)和常规ERAS路径组(对照组)各45例患者。对两组疼痛、恶心呕吐、体温、胃肠道功能、睡眠情况、饮食情况、补液情况、活动情况、功能状态等进行对照分析。结果观察组用药后与对照组比较,疼痛[(4.07±0.393)分vs.(4.53±0.548)分,P<0.01],恶心呕吐[(4.11±0.775)分vs.(3.36±0.609)分,P<0.01],体温[(4.71±0.506)分vs.(4.18±0.716)分,P<0.01],胃肠功能[(4.22±0.599)分vs.(3.49±0.589)分,P<0.01],睡眠情况[(4.11±0.611)分vs.(3.49±0.589)分,P<0.01],具有统计学显著差异(P<0.05);饮食情况[(4.53±0.625)分vs.(4.22±0.670)分,P>0.05],补液情况[(3.82±0.684)分vs.(3.56±0.546)分,P>0.05],运动情况[(4.04±0.562)分vs.(3.71±0.727)分,P>0.05],功能状态[(4.64±0.484)分vs.(4.49±0.506)分,P>0.05],两组相比差异无明显统计学意义(P>0.05)。结论康妇消炎栓在妇科腹部手术术后ERAS的应用中在促进胃肠功能、减轻术后疼痛、维持术后体温、改善恶心呕吐及睡眠情况等方面效果显著。Objective To evaluate the clinical treatment effect of Kangfu Xiaoyan Suppository in the enhancing recovery after gynecological abdominal surgery.Methods A total of 90 pations receiving elective gynecological abdominal surgery in the Provincial Hospital Affiliated to Shandong First Medical University from May to December 2019 were selected,and they were divided into two groups:45 in the observation group receiving conventional ERAS and Kangfu Xiaoyan Suppository and 45 in the control group receiving conventional ERAS.The scores in pain,nausea and vomiting,body temperature,gastrointestinal function,sleep quality,diet,fluid rehydration,activity and functional status of the two groups were compared.Results Compared with the control group after medication,the scores in pain[(4.07±0.393)vs.(4.53±0.548),P<0.01],nausea and vomiting[(4.11±0.775)vs.(3.36±0.609),P<0.01],body temperature[(4.71±0.506)vs.(4.18±0.716),P<0.01],gastrointestinal function[(4.22±0.599)vs.(3.49±0.589),P<0.01]and sleep quality[(4.11±0.611)vs.(3.49±0.589),P<0.01]had statistically significant differences(P<0.05);the scores in diet[(4.53±0.62.5)vs.(4.22.±0.670),P>0.05],rehydration[(3.82±0.684)vs.(3.56±0.546),P>0.05],activity[(4.04±0.562)vs.(3.71±0.727),P>0.05]and functional status[(4.64±0.484)vs.(4.49±0.506),P>0.05]had no significant difference between the two groups(P>0.05).Conclusion The application of Kangfu Xiaoyan Suppository in ERAS after gynecological abdominal surgery has significant effects in promoting gastrointestinal function,relieving postoperative pain,maintaining postoperative body temperature,and improving nausea and vomiting as well as sleep quality.
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