改良截石位联合ERAS应用于腹腔镜子宫切除术患者的效果分析

Effect Analysis of Modified Lithotomy Position Combined with ERAS in Patients with Laparoscopic Hysterectomy

目的:探讨改良截石位联合加速康复外科(ERAS)应用于腹腔镜子宫切除术患者的效果。方法:将2019年1月-2020年10月75例本院收治的腹腔镜子宫切除术患者按照随机数字表法分为两组。对照组37例予以传统截石位+常规护理,研究组38例予以改良截石位联合ERAS。比较两组术后恢复情况、下肢血流速度及凝血功能相关指标。结果:研究组术后胃肠功能恢复时间、首次排气时间、排便时间、下床活动时间均早于对照组(P<0.05)。干预后研究组下肢血流速度高于对照组(P<0.05),PT、TT、APTT长于对照组,FIB水平高于对照组(P<0.05)。结论:腹腔镜子宫切除术患者应用改良截石位联合ERAS可改善患者下肢血流速度和凝血功能指标,促进术后恢复。

Objective:To explore the effect of enhanced recovery after surgery (ERAS) combined with modified lithotomy position in patients with laparoscopic hysterectomy.Method:From January 2019 to October 2020,a total of 75 patients with laparoscopic hysterectomy in our hospital were randomly divided into two groups by random number table method,37 cases in the control group were given traditional lithotomy position + routine nursing,38 cases in the study group were given improved lithotomy position combined with ERAS.The postoperative recovery,blood flow velocity of lower limbs and blood coagulation function index of the two groups were compared.Result:The recovery time of gastrointestinal function,first exhaust time,defecation time and ambulation time of the study group were earlier than those of the control group (P<0.05).After the intervention,the blood flow velocity of lower limbs of the study group was higher than that of the control group,the PT,TT,APTT of the study group were longer than the control group,the FIB level of the study group was higher than that of the control group (P<0.05).Conclusion:The application of modified lithotomy position combined with ERAS can improve the blood flow velocity of lower limbs and blood coagulation function indexes of patients after laparoscopic hysterectomy,promote postoperative recovery.