腹腔镜老年腹股沟疝修补术开展加速康复外科治疗的疗效及对患者满意度的影响  

Efficacy of enhanced recovery after surgery in elderly laparoscopic inguinal hernia repair and its influence on patient satisfaction

作　　者：李晓华 刘聂财 李金娥 Li Xiao-hua;Liu Nie-cai;Li Jin-e(Department of General Surgery,Wannian Traditional Chinese Medicine Hospital,Shangrao 335500,Jiangxi,China)

机构地区：[1]万年县中医院普外科,江西上饶335500

出　　处：《四川生理科学杂志》2024年第9期1908-1910,2107,共4页

基　　金：上饶市指导性科技计划(2023CZDX213)。

摘　　要：目的:探讨腹腔镜老年腹股沟疝修补术开展加速康复外科(Efficacy of Accelerated Rehabilitation Surgery,ERAS)治疗的疗效及对患者满意度的影响。方法:选取2023年1月至2023年6月我院收治的60例腹股沟疝患者作为研究对象,采用随机数字表法分为研究组和对照组,各30例。对照组患者接受常规腹腔镜腹股沟疝修补手术治疗,研究组在ERAS理念支持下接受腹腔镜腹股沟疝修补手术治疗,比较两组患者围术期指标、修补复发率、患者满意度和不良反应发生率差异,记录两组患者治疗前1d、治疗后1w的生活质量[健康调查简表(HealthSurvey SummaryTable,SF-36)]并比较。结果:研究组患者首次下床时间、疼痛持续时长、住院时间明显低于对照组(P<0.05);研究组患者满意度明显高于对照组(P<0.05);治疗后1 w,两组患者SF-36评分明显升高(P<0.05),且研究组明显高于对照组(P<0.05);两组患者修补复发率、不良反应发生率无明显差异(P>0.05)。结论:ERAS治疗在腹腔镜腹股沟疝修补术的施行有助于患者术后康复进程,还可使患者满意度和生活质量得以提高。Objective:To explore the efficacy of enhanced recovery after surgery(ERAS)in elderly laparoscopic inguinal hernia repair and its influence on patient satisfaction.Methods:Sixty patients with inguinal hernia in the hospital were selected from January 2023 to June 2023 as the research subjects,and were divided into study group and control group by random number table method,30 cases in each group.The control group received routine laparoscopic inguinal hernia repair surgery,while the study group received laparoscopic inguinal hernia repair surgery with the support of ERAS concept.The perioperative indicators,repair recurrence rate,patient satisfaction,and incidence rates of adverse reactions were compared between the two groups of patients.The quality of life[36-item Short-Form Health Survey(SF-36)]in the two groups of patients at 1 day before treatment and 1 week after treatment was recorded and compared.Results:The first ambulation time,duration of pain,and hospital stay in the study group were significantly shorter than those in the control group(P<0.05).The patient satisfaction in the study group was significantly higher than that in the control group(P<0.05).At 1 week after treatment,the SF-36 score in both groups of patients was significantly increased(P<0.05),and the study group had significantly higher score(P<0.05).There were no obvious differences in the repair recurrence rate and incidence rates of adverse reactions between the two groups of patients(P>0.05).Conclusion:The implementation of ERAS treatment in laparoscopic inguinal hernia repair surgery is helpful for the postoperative rehabilitation process of patients,and can also improve patient satisfaction and quality of life.

关 键 词：腹股沟疝 腹腔镜老年腹股沟疝修补术 加速康复外科 满意度 

分 类 号：R656.21[医药卫生—外科学]