加速康复外科在妇科经腹腔镜手术患者围手术期应用的临床效果研究

Clinical Effect of Enhanced Recovery after Surgery in Patients Receiving Gynecological Laparoscopic Surgery during Perioperative Period

目的:探讨加速康复外科在妇科经腹腔镜手术患者围手术期中的应用效果。方法:选择2020年1月-2021年1月本院接收并择期接受经腹腔镜手术的妇科疾病患者120例,将其随机分为观察组和对照组,围手术期,对照组给予常规妇科护理,观察组在常规妇科护理基础上,将加速康复外科的理念融入围手术期患者管理,比较两组各临床指标。结果:观察组首次排气时间、首次排便时间、首次下床活动时间、进食时间、拔除尿管时间和术后住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率为6.7%,明显低于对照组的26.6%,患者总满意度为93.3%,明显高于对照组的70.0%,差异均有统计学意义(χ^(2)=8.642、10.909,P=0.003、0.001)。结论:加速康复外科在妇科经腹腔镜手术患者围手术期中的应用效果良好,可加速术后康复,减少术后并发症,提高患者的满意度,值得推广。

Objective:To explore the clinical effect of enhanced recovery after surgery in patients who receiving gynecological laparoscopic surgery during perioperative period.Method:A total of 120 gynecological diseases patients who accepted laparoscopic surgery from January 2020 to January 2021 in our hospital were selected and randomly divided into the observation group and the control group.During perioperative period,the control group was given routine gynecological nursing,while on the basis of routine gynecology nursing,the observation group was integrating the concept of accelerated rehabilitation surgery into perioperative patient management integrated the concept of enhanced recovery after surgery into perioperative patient management,and the clinical indexes of two groups were compared.Result:The first exhaust time,first defecation time,first ambulation time,eating time,catheter removal time and postoperative hospital stay of the observation group were shorter than those of the control group,the differences were statistically significant (P<0.05).The incidence of postoperative complications in the observation group was 6.7%,which was significantly lower than 26.6% in the control group,the total satisfaction of patients was 93.3%,which was significantly higher than 70.0% of the control group,the differences were statistically significant (χ^(2)=8.642,10.909,P=0.003,0.001).Conclusion:The application of enhanced recovery after surgery in patients undergoing gynecological endoscopic surgery has a good clinical effect,which can accelerate postoperative rehabilitation,reduce postoperative complications,improve patient satisfaction,and it is very valuable to promulgation and application.