基于ERAS的卵巢良性囊肿日间手术可行性及安全性分析  

Feasibility and Safety Analysis of Ambulatory Surgery of Benign Ovarian Cyst Based on the Concept of Enhanced Recovery After Surgery

作　　者：黄娟 李鑫 谢艾洁 贾玉俭 王惠 闫咨儒 余婕 刘颖 廖建梅 刘天骄 干晓琴 HUANG Juan;LI Xin;XIE Aijie(不详;Chengdu Women's and Children's Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu,Sichuan,611731,China)

机构地区：[1]电子科技大学医学院附属成都市妇女儿童中心医院,四川成都611731

出　　处：《中国卫生质量管理》2023年第10期38-42,共5页Chinese Health Quality Management

基　　金：成都市科技局“基于快速康复策略和单孔腹腔镜技术的卵巢良性肿瘤日间手术化的可行性和安全性分析”(编号:2021-YF0500530-SN);成都市卫生健康委“日间快速康复模式下经脐单孔腹腔镜手术和经阴道自然腔道内镜手术行卵巢囊肿剥除的有效性及安全性的随机对照研究”(编号:2021074)。

摘　　要：目的探索卵巢良性囊肿日间手术的可行性及安全性。方法选择成都某院2021年11月-2022年6月诊断为卵巢良性囊肿且有手术指征的患者进行回顾性病例对照研究。采用多变量线性回归分析术中出血量、手术持续时间、术后排气时间的相关性,采用二元逻辑回归分析术中术后并发症的相关影响因素。结果日间手术和住院手术下卵巢良性囊肿剥除术的术中出血量、手术时间、手术中转率均无统计学差异(P>0.05)。日间手术患者的血红蛋白减少值、住院天数、术后下床活动时间、术后进食时间、术后排气时间、术后6 h疼痛评分、患者要求使用镇痛药物率均低于住院手术患者(P<0.05)。结论卵巢良性囊肿日间手术患者术后恢复快,疼痛轻微,且不会增加术中术后并发症发生风险,可以开展。Objective To explore the feasibility and safety of ambulatory surgery for benign ovarian cysts.Methods A retrospective case-control study was performed on patients diagnosed with benign ovarian cysts with surgical indications in a hospital in Chengdu from November 2021 to June 2022.The correlation of intraoperative blood loss,duration of operation and postoperative exhaust time was analyzed by multivariate linear regression.The correlation factors of intraoperative and postoperative complications were analyzed by binary logistic regression.Results There were no significant differences in the amount of blood loss,operation time and conversion rate between ambulatory surgery and inpatient ovarian benign cyst removal(P>0.05).The decreased hemoglobin value,length of hospital stay,time to get out of bed after surgery,time to eat after surgery,time to exhaust gas after surgery,pain score at 6 h after surgery,and the rate of patients requiring analgesic drugs were all lower in patients with ambulatory surgery(P<0.05).Conclusion The patients with benign ovarian cyst undergoing ambulatory surgery can recover quickly and have little pain without increasing the risk of intraoperative and postoperative complications,so they can be carried out.

关 键 词：快速康复外科 卵巢良性囊肿 日间手术 

分 类 号：R197.323[医药卫生—卫生事业管理] R714.46[医药卫生—公共卫生与预防医学]