加速康复外科在卵巢囊肿患者围术期的应用  

Application of enhanced recovery after surgery in the perioperative period of patients with ovarian cysts

作　　者：贾雪敏 刘海元[1] Jia Xuemin;Liu Haiyuan(Chinese Academy of Medical Sciences&Peking Union Medical College,Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,National Clinical Research Center for Obstetric&Gynecologic Diseases,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院,北京协和医院妇产科,国家妇产疾病临床医学研究中心,北京100730

出　　处：《中华腔镜外科杂志（电子版）》2024年第1期36-38,共3页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨加速康复外科(enhanced recovery after surgery,ERAS)在妇科卵巢囊肿手术患者中的应用并分析影响术后恢复天数的相关因素。方法以北京协和医院普通妇科中心四病房2021年1月至2021年5月收治的行择期妇科卵巢囊肿手术的274例患者为研究对象,对其一般资料和ERAS完成情况进行收集,利用欧洲五维健康量表(EQ-5D)进行视觉模拟评分(visual analogue scale,VAS)调查后,最终采用SPSS 27.0统计软件进行多元线性回归分析,探究影响术后恢复天数的相关因素。结果本研究共有274例患者纳入最终统计学分析,结果显示ERAS措施完成率为77(65,85)%。随访EQ-5D问卷VAS评分:术后3(0,7)d恢复至健康状态。此外,利用多元线性回归分析得出年龄、术后第2天VAS评分、术后恶心呕吐(postoperative nausea and vomiting,PONV)的预防对术后恢复天数的影响有统计学意义(P<0.05)。结论加速康复外科在妇科手术中的应用可以加快患者术后康复速度、缩短术后恢复时间,提高生活质量。此外,本研究发现年龄、术后第2天VAS评分、PONV的预防是缩短术后恢复天数的影响因素,为无法完成ERAS全部管理措施的医院实施简化版ERAS奠定基础。Objective To explore the application of Enhanced Recovery After Surgery(ERAS)in patients undergoing gynecological ovarian cyst surgery and to analyze the factors that affect postoperative recovery time.Methods A total of 274 patients who underwent elective gynecological ovarian cyst surgery at the Fourth Ward of the General Gynecology Center of Peking Union Medical College Hospital from Jan.2021 to May 2021 were included in the study.Their general data and ERAS completion status were collected and analyzed.After conducting a visual analogue scale(VAS)survey using the European fivedimensional Health scale(EQ-5D)instrument,multiple linear regression analysis was performed using SPSS 27.0 statistical software to explore the factors that affect postoperative recovery time.Results A total of 274 patients were included in the final statistical analysis.The completion rate of ERAS measures was 77%(65,85%).Follow-up EQ-5D questionnaire VAS scores and 3(0,7)days to recover to a healthy state after surgery.In addition,multiple linear regression analysis revealed that age,VAS score on the second day after surgery,and prevention of postoperative nausea and vomiting had a statistically significant impact on postoperative recovery time(P<0.05).Conclusions The application of ERAS in gynecological surgery can accelerate postoperative recovery,shorten postoperative recovery time,and improve the quality of life of patients.Moreover,this study found that age,VAS score on the second day after surgery,and prevention of postoperative nausea and vomiting can shorten the postoperative recovery time,which lays the foundation for the implementation of a simplified version of ERAS in hospitals that cannot fully implement all ERAS management measures.

关 键 词：加速康复外科 妇科手术 卵巢囊肿 

分 类 号：R737.31[医药卫生—肿瘤]