加速康复外科对妇科恶性肿瘤腹腔镜手术患者预后的影响

The effect of enhanced recovery after surgery on the prognosis of patients undergoing laparoscopic surgery for gynecological malignant tumors

目的:探讨加速康复外科(enhanced recovery after surgery,ERAS)对妇科恶性肿瘤腹腔镜手术患者预后的影响。方法:选取2018年6月至2020年6月广东省深圳市南山区华中科技大学协和深圳医院接受腹腔镜手术治疗的108例妇科恶性肿瘤患者,分为两组,其中对照组(54例)给予常规护理,研究组(54例)给予ERAS护理,比较两组术后恢复情况、并发症发生率及护理满意度。结果:和对照组比,研究组拔除引流管时间、开始下床活动时间及住院时间均更短,并发症总发生率更低,护理总满意率更高,差异均有统计学意义(均P<0.05)。结论:ERAS护理可有效促进妇科恶性肿瘤腹腔镜手术患者术后恢复,减少并发症的发生,并有助于提升护理满意度。

Objective:To explore the effect of enhanced recovery after surgery(ERAS)on the prognosis of patients undergoing laparoscopic surgery for gynecological malignancies.Methods:A selection of 108 patients with gynecological malignant tumors who underwent laparoscopic surgery in Union Medical College Hospital of Huazhong University of Science and Technology in Nanshan District from June 2018 to June 2020 were divided into two groups according to the lottery method,54 cases in each group.Results:Compared with the control group,the study group had shorter time to remove the drainage tube,the time of ambulation and the length of hospital stay,the overall incidence of complications was lower,and the overall satisfaction rate of nursing was higher(all P<0.05).Conclusion:ERAS nursing can effectively promote the postoperative recovery of patients undergoing laparoscopic surgery for gynecological malignant tumors,reduce the occurrence of complications,and help improve nursing satisfaction,which has clinical promotion value.