ERAS在腹腔镜下卵巢良性囊肿患者围手术期中的应用研究  

Application of ERAS in Perioperative patients with benign ovarian cysts under Laparoscope

作　　者：王金龙 陶玉 魏舒 谭菲菲 Wang Jinlong;Tao Yu;Wei Shu;TanFeifei(Department of Gynecology,Union Shenzhen Hospital,Huazhong University of Science and Technology,Shenzhen 518000,China)

机构地区：[1]华中科技大学协和深圳医院妇科,广东深圳518000

出　　处：《实用妇科内分泌电子杂志》2021年第12期77-80,共4页Electronic Journal of Practical Gynecological Endocrinology

基　　金：深圳市南山区技术研发和创意设计项目分项资金教育(卫生)科技资助项目[编号2019033(一般)]。

摘　　要：目的研究加速康复外科(ERAS)在腹腔镜下卵巢良性囊肿患者围手术期中的临床效果。方法选取80例实施择期腹腔镜手术治疗的卵巢肿瘤患者,依据干预方式不同将其分为对照组(37例)与干预组(43例)。干预组采用ERAS干预,对照组采用常规护理干预。对比两组患者各临床指标、并发症发生情况及不同时间段疼痛评分。结果两组患者手术时间、术中出血量对比差异无统计学意义(P>0.05),干预组患者肛门排气时间、下床活动时间、首次排便时间、住院时间及留置引流管时间均明显短于对照组,差异具有统计学意义(P<0.05)。干预组患者并发症发生率为16.28%,低于对照组患者的29.73%,但对比差异无统计学意义(P>0.05)。干预组患者术后6 h、术后第1天评分分别为(3.53±0.27)、(2.53±0.17)分,明显低于对照组的(3.97±0.14)、(2.87±0.16)分,差异具有统计学意义(P<0.05),两组患者术后第2天疼痛评分对比差异无统计学意义(P>0.05)。结论ERAS在腹腔镜下卵巢良性囊肿患者围手术期护理中,可促进患者术后恢复及缩短住院时间,缓解患者疼痛,值得临床推广与应用。Objective To study the clinical effects of accelerated rehabilitation surgery(ERAS)in patients with benign ovarian cysts under laparoscopy during the perioperative period.Methods 80 patients with ovarian tumor who underwent elective laparoscopic surgery were divided into control group(37 cases)and intervention group(43 cases)according to different intervention methods.ERAS intervention was used in the intervention group and routine nursing intervention was used in the control group.Clinical indicators,complications and pain scores at different periods were evaluatedandcompared between the two groups.Results There were no statistically significant differences in the operative time and intraoperative blood lossvolume between the two groups(P>0.05).The time of anal exhaust,time of getting out of bed,time of first defecation,length of hospital stay and time of placement of drainage tube in the intervention group were significantly shorter than those in the control group,with statistically significant differences(P<0.05).The incidencerate of complications in the intervention group was 16.28%,lower than 29.73%in the control group,but the difference was not statistically significant(P>0.05).The scores of the intervention group were(3.53±0.27)and(2.53±0.17)points at 6 h and 1 day after surgery,respectively,which were significantly lower than those of the control group(3.97±0.14)and(2.87±0.16)points,with statistically significant differences(P<0.05).There was no significant difference in pain scores between the two groups on the second day after surgery(P>0.05).Conclusion ERAS can promote postoperative recovery,shorten hospital stay and relieve pain in patients with benign ovarian cyst during perioperative period under laparoscopy,which is worthy of clinical promotion and application.

关 键 词：卵巢囊肿 加速康复外科 腹腔镜下卵巢良性囊肿术 围手术期 

分 类 号：R473.71[医药卫生—护理学]