ERAS策略在妇科达芬奇手术患者中的应用  

Application of the Enhanced Recovery After Surgery-based intervention in gynecological patients undergoing da Vinci robotic surgery

作　　者：陈轶 汪琦[1] 姜浩靓 杜玲玲[1] 夏云菲 郭晨 王利维[1] CHEN YI;WANG Qi;JIANG Haoliang(Department of Obstetrics and Gynecology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院妇产科,上海市200092

出　　处：《河北医药》2023年第19期3022-3025,共4页Hebei Medical Journal

基　　金：新华医院护理学科建设项目(编号:Xhlgg012)。

摘　　要：目的探讨ERAS策略在妇科达芬奇手术患者中的应用效果。方法采取方便抽样法,选取2021年9至12月在上海某三甲综合医院进行达芬奇手术的妇科良性疾病患者100例为研究对象。根据手术日期分组,2021年9~10月手术患者入组对照组,2021年11~12月手术患者入组试验组。对照组采取常规围手术期照护,试验组采取ERAS策略干预,比较2组患者手术相关情况,术后恢复情况(首次排气排便时间、进食时间、住院时长等)及疼痛情况方面的差异。结果试验组首次排气时间、首次排便时间、进食时间、腹腔引流管拔除时间、住院时长短于对照组,差异有统计学意义(P<0.05)。结论对于妇科患者达芬奇手术围手术期,可实施ERAS策略干预,有利于患者术后康复,促进患者肠道功能恢复,缩短术后康复时间,缩短住院时长。Objective To investigate the effect of the Enhanced Recovery After Surgery(ERAS)-based intervention in gynecological patients undergoing da Vinci robotic surgery.Methods A total of 100 patients with gynecological diseases who underwent da Vinci robotic surgery in a Class A tertiary hospital in Shanghai from September 2021 to December 2021 were selected by convenient sampling method.According to the date of operation,patients undergoing surgery from September to October 2021 were included in the control group,and those undergoing surgery from November to December 2021 were included in the experimental group.Routine perioperative nursing,and ERAS-based intervention were performed in the control group and experimental group,respectively.Surgery-related conditions,postoperative recovery(exhaust time,defecation time,feeding time,and length of stay)and pain were compared.Results Patients of experimental group had significantly shorter exhaust time,defecation time,feeding time,time of abdominal drainage tube removal,and length of stay than those of control group(P<0.05).Conclusion ERAS-based intervention is recommended to gynecological patients undergoing da Vinci robotic surgery,which is beneficial to postoperative rehabilitation,intestinal function recovery,shortening postoperative recovery time and length of stay.

关 键 词：妇科 达芬奇手术 ERAS策略 

分 类 号：R473.71[医药卫生—护理学]