ERAS理念联合仿生物电技术在盆腔器官重度脱垂患者重建术中的应用  

Application of ERAS concept combined with biomimetic electrical technique in reconstruction of severe pelvic organ prolapse

作　　者：陈春霞[1] 方巧婵 李桂红[1] CHEN Chunxia;FANG Qiaochan;LI Guihong(Department of Obstetrics and Gynecology,Houjie Hospital of Dongguan City in Guangdong Province,Guangdong,Dongguan 523960,China)

机构地区：[1]广东省东莞市厚街医院妇产科,广东东莞523960

出　　处：《中国医药科学》2022年第11期127-130,174,共5页China Medicine And Pharmacy

基　　金：广东省东莞市社会科技发展(一般)项目(202050715023151)。

摘　　要：目的探讨快速外科康复(ERAS)理念联合仿生物电技术在盆腔器官重度脱垂患者重建术中的应用效果及对患者疼痛、心理的影响。方法选取2020年7月至2021年7月广东省东莞市厚街医院妇产科收治的60例盆腔器官重度脱垂患者作为研究对象,采用随机数字表法将其分为试验组和对照组,每组各30例,对照组术后采用ERAS干预,试验组术后采用ERAS联合仿生物电技术干预,记录并比较两组患者干预前排清大便时间、干预后首次排便时间及术后首次小便后残余尿量,比较两组患者干预后12、24、36、48 h的1min肠鸣音次数,比较两组患者干预后12、24、48 h的视觉模拟疼痛(VAS)评分及术后非甾体消炎药(NSAIDs)总用量,比较两组患者干预前后心理状态,并统计两组患者干预后尿潴留、重置导尿管、术后疼痛等并发症发生情况。结果干预前,两组患者的大便排清时间、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);干预后,试验组首次排便时间、首次小便后残余尿量低于对照组,干预后12、24、36、48 h的1min肠鸣音次数高于对照组,干预后12、24、48 h的VAS评分、NSAIDs药物总用量低于对照组,HAMA、HAMD评分低于对照组,且试验组干预后并发症总发生率为13.33%(4/30),低于对照组的26.67%(8/30),差异有统计学意义(P<0.05)。结论ERAS理念联合仿生物电技术用于盆腔器官重度脱垂患者重建术后护理对促进患者肠道功能恢复、缓解疼痛情况、改善心理状态均有着积极作用。Objective To investigate the effect of enhanced recovery after surgery(ERAS)concept combined with biomimetic electrical technique in the reconstruction of severe pelvic organ prolapse and the impacts on patients’pain,psychological and economic burden.Methods A total of 60 patients with severe pelvic organ prolapse admitted to the Department of Obstetrics and Gynecology in Houjie Hospital of Dongguan City in Guangdong Province from July 2020 to July 2021 were selected as study subjects,and they were divided into the experimental group and the control group according to the random number table method,with 30 patients in each group.The control group received ERAS intervention after surgery,while the experimental group received ERAS combined with biomimetic electrical technique intervention after surgery.The time for complete defecation before the intervention,the time to the first defecation after the intervention and the amount of residual urine after the first urination after the intervention,the number of 1-min bowel sounds at 12,24,36 and 48 h after the intervention,the motion-related pain(visual analogue scale,VAS)scores,the total postoperative dosage of non-steroidal anti-inflammatory drugs(NSAIDs)at 12,24 and 48 h after the intervention,and the psychological state before and after the intervention were recorded and compared between the two groups.In addition,the occurrence of urinary retention,replacement of catheter,postoperative pain and other complications after the intervention in the two groups were counted.Results Before the intervention,there were no statistically significant differences between the two groups in terms of the time for complete defecation,Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores(P>0.05).After the intervention,the time to the first defecation and the amount of residual urine after the first urination were shorter/lower and the number of 1-min bowel sounds at 12,24,36 and 48 h after the intervention was higher in the experimental group than those in the cont

关 键 词：盆腔器官重度脱垂重建术 ERAS理念 仿生物电技术 缓解疼痛 心理状态 

分 类 号：R711.59[医药卫生—妇产科学]