加速康复外科治疗在妇科良性肿瘤围手术期的应用

Application of Enhanced Recovery After Surgery in the Perioperative Period ofGynecological Benign Tumors

目的:探讨加速康复外科治疗在妇科良性肿瘤围手术期的应用安全性和有效性的影响及其机制。方法:选择2018年3月-2019年11月在该院妇科因妇科良性肿瘤性手术治疗的患者98例,分别采用加速康复外科(ERAS)组和传统组的围手术期处理原则。比较两组患者术后住院时间、住院费用、不良反应的发生、进食水下床时间、手术并发症的差异。结果:两组患者均治愈出院。ERAS组患者与传统组相比,术后恶心、呕吐的发生、胃肠功能恢复时间、住院时间以及治疗费用明显低于传统组,差异有统计学意义(P<0.05)。结论:ERAS应用于妇科良性肿瘤围手术期,有利于患者的康复,缩短住院时间,降低住院费用,且不会增加手术并发症。其机制可能是减轻患者的应激反应。

Objective:To explore the effect of the application safety and effectiveness,and its mechanism of enhanced recovery after surgery(ERAS)in the perioperative period of gynecological benign tumors.Methods:Ninety-eight patients with gynecological benign tumor were selected in the department of gynecology at the hospital from March 2018 to November 2019 were selected;and the principles of perioperative management in ERAS group and traditional group were used respectively.The differences in postoperative hospital stay,hospitalization costs,occurrence of adverse reactions,time to eating/water and getting out of bed,and surgical complications were compared between the two groups.Results:Both groups of patients were cured and discharged.Compared with the traditional group,the incidence of postoperative nausea&vomiting,recovery of gastrointestinal function,length of hospital stay,and treatment costs were significantly lower in the ERAS group than those in the traditional group.The differences were statistically significant(P<0.05).Conclusion:The application of ERAS in the perioperative period of gynecological benign tumors is conducive to the rehabilitation of patients;and it can shortens the length of hospitalization,reduces the cost of hospitalization,and does not increase surgical complications.The mechanism may be to reduce the patient’s stress response.