快速康复外科在子宫良性病变腹腔镜手术中的应用研究

Application of Enhanced Recovery after Surgery in Laparoscopic Surgery of Benign Uterine Lesions

目的:观察快速康复外科(enhanced recovery after surgery,ERAS)在子宫良性病变腹腔镜手术中的应用分析。方法:选取2019年5月-2020年5月在笔者所在医院就诊且因良性病变拟行腹腔镜手术的妇科患者80例,随机分为观察组(n=50)及对照组(n=30)。观察组在围手术期采取ERAS方式干预,对照组采用传统围手术期干预。比较两组患者围手术期情况(禁食时间、术后首次排气时间、首次下床活动时间、术后住院时间)、干预前后SAS量表评分、患者对临床治疗和护理的依从性,并评价干预后患者满意率。结果:观察组术后禁食时间、术后首次排气时间、首次下床活动时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05)。干预前两组患者SAS量表评分比较,差异无统计学意义(P>0.05),干预后患者SAS评分明显下降,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者对临床治疗、护理的依从优良率为98.00%,高于对照组的83.00%,差异有统计学意义(P<0.05)。观察组患者对干预的总满意率为100%,高于对照组的90.00%,差异有统计学意义(P<0.05)。结论:在子宫良性病变腹腔镜手术中,采取快速康复外科干预,可以明显地缩短患者术后禁食时间,缩短术后排气与首次下床时间,提升患者对临床治疗、护理的依从性,提升满意率,效果理想。

Objective:To observe the application of enhanced recovery after surgery (ERAS) in laparoscopic surgery of benign uterine lesions.Method:From May 2019 to May 2020,80 gynecological patients who were treated and scheduled to undergo endoscopic surgery due to benign lesions in our hospital were selected and randomly divided into the observation group (50 cases) and the control group (30 cases).The observation group used ERAS intervention during the period.The control group used conventional perioperative intervention.Compared the perioperative conditions of the two groups of patients (fasting time,first postoperative exhaust time,first time out of bed activity,postoperative hospital stay),SAS scale scores before and after intervention,patients’ compliance with clinical treatment and nursing,and evaluated the satisfaction rate of patients after intervention.Result:The observation group’s postoperative fasting time,first postoperative exhaust time,first time out of bed activity time,and postoperative hospitalization time were shorter than those of the control group,the differences were statistically significant (P<0.05).There were no statistically significant differences of SAS scale score between the two groups before the intervention (P>0.05).After intervention,the SAS scores in both groups decreased significantly,and SAS score in the observation group was lower than that in the control group,the differences were statistically significant (P<0.05).The compliance rate of the observation group for clinical treatment and nursing (98.00%) was higher than 83.00% of the control group,the difference was statistically significant (P<0.05).The total satisfaction rate (100%) of the patients in the observation group was higher than 90.00% in the control group,the difference was statistically significant (P<0.05).Conclusion:In laparoscopic surgery of benign uterine lesions,the use of rapid rehabilitation surgical intervention can significantly shorten the postoperative fasting time of the patient,and shorten the postoperative exhaustion and first bed time.Improve the patient’s compliance with clinical treatment and nursing,improve the satisfaction rate,and the effect is ideal.