快速康复外科在腹腔镜子宫肌瘤切除术中的应用

Application of enhanced recovery after surgery for laparoscopic myomectomy

目的评估快速康复外科(ERAS)在腹腔镜子宫肌瘤切除术中的应用。方法选取2018年1月2019年1月南京医科大学附属淮安第一医院100例因子宫肌瘤行腹腔镜子宫肌瘤切除术的患者。分为ERAS组和对照组,每组50例。观察两组患者术中及术后的临床指标。结果两组手术时间和术中出血量比较,差异无统计学意义(P>0.05);ERAS组术后首次排气时间、禁食时间、首次下床活动时间、术后住院时间与对照组比较,差异有统计学意义(P<0.05),ERAS组较对照组缩短。两组患者首次排便时间、腹腔引流管拔除时间比较,差异无统计学意义(P>0.05);术后早期均无并发症。结论对腹腔镜子宫肌瘤切除术的患者,在围手术期应用ERAS,可缩短住院时间并促进患者康复。

Objective To evaluate the application of enhanced recovery after surgery(ERAS)for laparoscopic myomectomy.Methods A total of 100 patients from January 2018 to January 2019 were selected and divided into the ERAS group(n=50)and the control group(n=50).The observed indexes included operation indexes and postoperative clinical indexes.Results There was no signi ficant difference in operation time and volume of intraoperative blood loss between the two groups(P>0.05).Compared with the control group,the time to initial anal exhaust,time to initial liquid diet intake,time to out-of-bed activity and duration of hospital stay of patients without complications were lower than those in the control group(P<0.05).Meanwhile,time to initial defecation and time to abdominal drainage-tube removal were not significantly different between the two groups(P>0.05);there was no early postoperative complications between two groups.Conclusions The ERAS for laparoscopic myomectomy can shorten hospital stay and accelerate recovery.