在结直肠手术中对深浸润子宫内膜异位进行快速康复护理

Rapid Rehabilitation Nursing of Deep Immersive Endometriosis in Colorectal Surgery

本研究旨在通过取样调查的方法,研究快速康复护理在结直肠癌手术中深浸润子宫内膜异位的应用功效。随机分配227名患有肠内子宫内膜异位症术前证据的患者进行快速康复(无术前肠道准备,早期恢复饮食,无术后抗生素,早期术后转移)或腹腔镜肠手术的常规护理。在双盲数据基础时间表上进行随机取样,所有程序均由同类小组的外科专家进行,并对手术结果和健康进行评估。配到快速康复护理小组的病人较早出院(中位数3到7 d;p<0.001),无显著主观幸福感差异(p=0.55)。各组间的手术细节、术后并发症、需要的临时回肠吻合术都是类似的(p=0.89),30 d内的再入院率也是类似的(p=0.69)。本研究结果表明,应用快速康复护理技术对发生盆腔和肠内子宫内膜异位症患者进行腹腔镜检查,不增加并发症的风险。

This paper was aim to study the application of rapid rehabilitation nursing in the deep infiltration of endometriosis in colorectal surgery by sampling survey. 227 patients with preoperative evidence of endometriosis were randomly assigned to perform rapid rehabilitation(no preoperative bowel preparation, early recovery diet, no postoperative antibiotics, early postoperative metastasis) or laparoscopic bowel surgery for routine care. Samples were randomised on a double-blind data base schedule, with all procedures performed by similar groups of surgeons, and evaluated for surgical outcomes and health economics. Patients who were assigned to the rapid Rehabilitation Nursing group were discharged early(median 3 to 7 days;p<0.001) without significant difference in subjective well-being(p=0.55). The surgical details, postoperative complications, and the need for temporary ileal anastomosis were similar in each group(p=0.89), and the readmission rate within 30 days was similar(p=0.69).It was indicated that the use of rapid rehabilitation nursing technology for pelvic and intestinal endometriosis patients with laparoscopic examination, did not increase the risk of complications.