摘要
目的探讨加速康复外科(ERAS)在机器人辅助下宫颈癌根治术中的临床应用价值。方法将行机器人辅助下宫颈癌根治术的180例患者随机分为加速康复外科(ERAS)组和对照组,各90例。比较2组患者术后首次肛门排气时间、疼痛NRS评分、并发症、住院时间、住院费用,以及术后第2天血清白蛋白(Alb)和C反应蛋白(CRP)水平。结果ERAS组患者术后首次肛门排气时间为(14.83±2.62)h,NRS评分为(4.17±1.61)分,并发症发生率为13.3%,住院时间为(5.23±1.82)d,住院费用为(29916.91±229.57)元;术后第2天CRP为(52.55±6.09)mg/L,Alb为(35.62±3.17)g/L。对照组分别为(17.55±2.36)h、(6.29±1.33)分、27.8%、(7.55±2.13)d、(33725.80±288.87)元、(90.46±8.13)mg/L、(29.05±3.52)g/L。2组差异均有统计学意义(P<0.05)。结论ERAS应用于机器人辅助下宫颈癌根治术,患者术后恢复快、并发症发生率低、住院时间短,住院总费用少,有较高的临床应用价值。
Objective To explore the safety and clinical effects of the concept of enhanced recovery after surgery(ERAS)applied to patients undergoing robotic-assisted radical resection of cervical cancer during the perioperative period.Methods A total of 180 patients were randomly divided into accelerated rehabilitation group(ERAS group)and control group.the first anal exhaust time,pain NRS score,complications,length of stay,hospitalization expenses,and serum albumin(Alb)and C reactive protein(CRP)levels were compared in the 2 groups.Results The first time of anal exhaust was(14.83±2.62 h,in the ERAS group,NRS score(4.17±1.61),The complication rate was 13.3%,Length of stay(5.23±1.82)d,Hospitalization costs are(29916.91±229.57)yuan;The CRP was(52.55±6.09)mg/L,day 2 after operation Alb(35.62±3.17)g/L;The control groups were(17.55±2.36)h、(6.29±1.33),27.8%,(7.55±2.13)d、(33725.80±288.87)Yuan,(90.46±8.13)mg/L、(29.05±3.52)g/L.Both groups had significant differences(P<0.05).Conclusion ERAS applied to the radical operation of cervical cancer assisted by robot,the patients recovered quickly after operation,the incidence of complications was low,the hospitalization time was short,and the total cost of hospitalization was less,which had high clinical application value.
作者
李琳
赵倩
郭瑞霞
郝璐瑶
马姝琦
Li Lin;Zhao Qian;Guo Ruixia;Hao Luyao;Ma Shuqi(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《河南外科学杂志》
2021年第3期10-12,共3页
Henan Journal of Surgery
基金
中原千人计划中原名医(ZYQR201810107)。
关键词
加速康复外科
机器人
宫颈癌
围手术期
Enhanced recovery after surgery
Robotics
Cervical cancer
Perioperative period
