快速康复理念在妇科微创手术中的应用与分析

Application and analysis of rapid rehabilitation concept in gynecological minimally invasive surgery

目的分析妇科微创手术过程中快速康复理念(ERAS)护理模式的应用价值。方法选取160例行微创手术患者,根据随机数字表法分为对照组(80例,常规护理)与观察组(80例,ERAS护理模式)。对比观察两组患者术后康复、炎性指标及并发症发生情况。结果两组患者术后禁食时间、尿管拔除时间、肛门排气时间、术后排便时间、下床活动时间以及住院时间康复指标数据相比,观察组康复时间短(P<0.05);观察组患者术后3 d的肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、白细胞计数(WBC)及C反应蛋白(CRP)水平均低于对照组,且并发症发生率5.00%低于对照组的15.00%,差异有统计学意义(P<0.05)。结论妇科微创手术进行过程中,ERAS护理模式的应用能够加快患者术后康复进程,且还能保障手术治疗安全性,临床可进一步推广运用。

Objective To analyze the application value of rapid rehabilitation concept(ERAS)in gynecological minimally invasive surgery.Methods 160 patients undergoing minimally invasive surgery were selected and divided into control group(80 cases,conventional care)and observation group(80 cases,ERAS nursing mode)according to random number table method.Postoperative recovery,inflammatory indexes and complications were compared between the two groups.Results Compared with the postoperative fasting time,urinary tube extraction time,anal exhaust time,postoperative defecation time,getting out of bed time and hospitalization time,the observation group had a shorter recovery time(P<0.05).The levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),white blood cell count(WBC)and C-reactive protein(CRP)in observation group were lower than those in control group 3 days after surgery,and the complication rate of 5.00% was lower than that in control group(15.00%),with statistical significance(P<0.05).Conclusion In the process of gynecological minimally invasive surgery,the application of ERAS nursing model can accelerate the postoperative recovery process of patients and ensure the safety of surgical treatment,so it can be further popularized and applied in clinic.