仿生物电刺激促进妇科腹腔镜术后肠道功能恢复的成本效果分析

Cost-effectiveness analysis of mimic bioelectrical stimulation in promoting intestinal function recovery after minimally invasive gynecology surgery

目的探讨仿生物电刺激对促进妇科腹腔镜术后肠道功能恢复的成本-效果分析。方法收集2018年8月至2019年3月于中山大学孙逸仙纪念医院就诊的100例妇科腹腔镜下妇科肿瘤术后患者作为研究对象,随机分为对照组49例患者按妇科术后常规护理;研究组51例在常规护理的基础上进行仿生物电刺激促进肠蠕动方案研究,对两组患者的首次排气时间、术后住院天数以及住院总费用进行成本效果分析。结果研究组排气时间比对照组早,两组患者的总有效率为96.1%、69.4%,差异有统计学意义(P<0.001),住院时间及住院总费用较对照组明显减少,成本效果比分别为36.38元,38.53元,差异有统计学意义(P<0.05)。结论仿生物电刺激肠蠕动方案能有效促进肠道功能恢复,加速术后排气,成本低,效果好。

Objective Exploring the cost effect of bioelectrical stimulation on promoting postoperative intestinal function recovery.Methods A total of 100 patients with minimally invasive gynecological laparoscopic surgery were enrolled at Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University from August 20 to March 2019.They were randomly divided into control group(n=49) according to routine nursing after gynecological laparoscopic surgery;51 patients in the experimental group were using the bioelectrical stimulation on the basis of routine nursing.The cost-effectiveness analysis of the first exhaust time,postoperative hospital stay and total hospitalization cost of the two groups of patients was carried out.Results The exhaust time of the patients in the experimental group was 4 h earlier than that of the control group.The total effective rates of the treatments in the two groups were 96.1% and 69.4%with significant difference(P<0.001).The hospitalization time and total hospitalization cost were significantly lower than that of the control group,and the cost-effect ratio were 36.38 RMB and 38.53 RMB,respectively,with significant difference(P<0.05).Conclusion Mimic bioelectrical stimulation of intestinal peristalsis can effectively accelerate intestinal peristalsis and promote intestinal function recovery,which is with a high cost-effective.It is a promising clinical treatment for Enhanced Recovery after surgery.