加速康复外科联合腹腔镜技术在子宫内膜癌围手术期的安全性和可行性  

Safety and feasibility of enhanced recovery after surgery combined with laparoscopy in the perioperative period of endometrial cancer

作　　者：梅彤[1] 刘荣芳[2] 陈莉莉[3] 王爽[1] MEI Tong;LIU Rongfang;CHEN Lili;WANG Shuang(Department of Gynecology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China;Department of Oncology,Jiangxi Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China;Department of Traditional Chinese Medicine,Maternal and Child Health Hospital,Jiangxi Province,Nanchang330006,China)

机构地区：[1]江西省妇幼保健院妇科,江西南昌330006 [2]江西省妇幼保健院肿瘤科,江西南昌330006 [3]江西省妇幼保健院中医科,江西南昌330006

出　　处：《中国当代医药》2024年第7期104-107,113,共5页China Modern Medicine

基　　金：江西省卫生健康委科技计划(SKJP220201548)。

摘　　要：目的探讨加速康复外科(ERAS)联合腹腔镜技术在子宫内膜癌围手术期中的应用效果。方法选取2021年12月至2022年12月江西省妇幼保健院收治的120例子宫内膜癌患者作为研究对象,按照随机数字表法将其分为对照组(60例)和观察组(60例),对照组患者采取传统围手术期处理方法,观察组患者采取ERAS围手术期管理方法。比较两组术前主观舒适度、手术相关情况、不良反应、术后恢复情况。结果两组术前主观舒适度比较,差异无统计学意义(P>0.05);观察组术前30 min时的口渴感、饥饿感、恶心感及焦虑程度评分均低于对照组,差异有统计学意义(P<0.05);观察组麻醉时间、手术时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05);观察组术后排气时间、术后初次排便时间、腹腔引流管放置时间、住院时间均短于对照组,住院费用少于对照组,差异有统计学意义(P<0.05)。结论在子宫内膜癌围手术期中采取ERAS理念联合腹腔镜技术,可增加患者术前主观舒适度,保证手术顺利进行,降低术后不良反应风险,从而促进患者快速康复。Objective To explore the application effect of enhanced recovery after surgery(ERAS)combined with laparoscopic technology in the perioperative period of endometrial cancer.Methods A total of 120 patients with endometrial cancer admitted to Jiangxi Maternal and Child Health Hospital from December 2021 to December 2022 were selected as the study objects,and were divided into control group(60 cases)and observation group(60 cases)according to random number table method.Patients in the control group received traditional perioperative management methods,and patients in the observation group received ERAS perioperative management methods.The preoperative subjective comfort,operation related conditions,adverse reactions and complications,and postoperative recovery were compared between the two groups.Results There was no statistically significant difference in subjective comfort between the two groups before surgery(P>0.05),the scores of thirst,hunger,nausea,and anxiety in the observation group at 30 min before surgery were lower than those in the control group,the differences were statistically significant(P<0.05).The duration of anesthesia and operation in the observation group was shorter than that in the control group,and the amount of intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).The total adverse reaction rate in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The postoperative exhaust time,first postoperative defecation time,abdominal drainage tube placement time and hospital stay in the observation group were shorter than those in the control group,and hospitalization cost was less than that in the control group,the differences were statistically significant(P<0.05).Conclusion In the perioperative period of endometrial cancer,ERAS concept combined with laparoscopic technology can increase the preoperative subjective comfort of patients,ensure the smooth operation,red

关 键 词：子宫内膜癌 加速康复外科 腹腔镜技术 主观舒适度 手术情况 并发症 术后恢复 

分 类 号：R737.33[医药卫生—肿瘤]