摘要
目的探讨加速康复外科(ERAS)治疗模式在宫颈癌根治术中的应用及临床效果。方法选取宫颈癌患者128例,常规行腹腔镜宫颈癌根治术±PAL在内的全面分期手术。其中采用常规围手术期治疗模式60例(传统治疗组),采用ERAS治疗模式68例(ERAS治疗组)。比较两组患者手术后下床活动时间、排气时间、排尿时间、术后住院时间、住院花费、术后并发症发生率;对两组患者手术后24 h、48 h、72 h分别采用视觉模拟评分法(visual analogue scale,VAS)进行疼痛评分;评估两组患者焦虑抑郁情况及治疗满意度。结果ERAS治疗组术后下床活动时间、排气时间、排尿时间、术后住院时间、住院花费及并发症发生率均低于常规治疗组(P<0.01),ERAS治疗组术后24 h、48 h、72 h的VAS疼痛评分均低于常规治疗组(P<0.01);ERAS治疗组焦虑、抑郁评分均明显低于常规组患者(P<0.01),而治疗满意度评分显著高于常规组(P<0.01)。结论ERAS治疗模式能加速宫颈癌根治术患者的术后康复,提高患者满意度,减少术后疼痛和并发症的发生,降低住院时间及住院花费,降低患者焦虑、抑郁程度,值得临床推广。
Objective To explore the clinical effects of enhanced recovery after surgery(ERAS)in laparoscopic radical hysterectomy of cervical carcinoma.Methods 128 patients with cervical cancer were selected and routinely performed laparoscopic radical surgery for cervical cancer±para-aortic lymph node dissection.Among them,60 cases were treated with conventional perioperative treatment(traditional treatment group)and 68 cases were treated with ERAS(ERAS group).The time of ambulation,exhausting time,urinating time,postoperative hospitalization time,hospitalization cost,postoperative complications rate after operation were compared between the 2 groups.The visual analogue scale(VAS)was used to score the pain at 24 h,48 h,and 72 h after operation in both groups;anxiety and depression scores and nursing satisfaction survey were performed in both groups.Results The time of ambulation,exhausting time,urinating time,postoperative hospital stay,hospitalization cost and complications rate in the ERAS group were lower than those of the routine treatment group(P<0.01);The VAS pain scores of the ERAS care group at 24 h,48 h,and 72 h after operation were lower than those of the routine treatment group(P<0.01);The scores of anxiety and depression in the ERAS group were significantly lower than those in the conventional group(P<0.01),while the satisfaction scores in the ERAS group were significantly higher than those of the conventional group(P<0.01).Conclusion ERAS model can speed up the postoperative recovery of cervical cancer patients undergoing laparoscopic radical hysterectomy,improve patient satisfaction,reduce postoperative pain and complications,reduce hospitalization time and costs,reduce the degree of anxiety and depression,and it is worthy of clinical promotion.
作者
汪莎
陈宏
WANG Sha;CHEN Hong(Zhongnan Hospital,Wuhan,430000)
出处
《实用癌症杂志》
2019年第12期2062-2065,共4页
The Practical Journal of Cancer
关键词
加速康复外科
宫颈癌根治术
临床应用
Enhanced recovery after surgery
Cervical carcinoma
Radical hysterectomy
