摘要
目的探讨加速康复外科(enhanced recovery after surgery,ERAS)在腹腔镜卵巢良性肿瘤手术中应用的安全性及有效性。方法选取2016年2月至2018年2月在北京同仁医院妇科行卵巢良性肿瘤手术的患者共120例,其中加速康复组60例,传统妇科组60例,根据围手术期处理方式将患者分为加速康复组和传统妇科组,比较两组患者的一般情况、手术方式、术后首次排气时间、术后住院时间。术后不同时间点采用视觉模拟评分(VAS)评定患者术后疼痛程度。结果加速康复组与传统妇科组术后首次排气时间分别为(18.0±6.2)、(50.0±10.7)h,术后住院时间分别为(2.2±1.0)、(4.2±1.1)天,差异有统计学意义(均P<0.05)。但两组的手术时间、术中出血量差别无统计学意义(均P>0.05)。加速康复组术后不同时间疼痛评分与传统妇科组比较差异有统计学意义(P<0.05)。结论加速康复治疗的患者较传统妇科治疗患者的术后胃肠功能恢复快、痛苦小、术后住院时间短,患者住院费用也相应降低,并且不增加手术并发症,值得临床推广。
Objective To explore the safety and effectiveness of enhanced recovery after surgery(ERAS)after laparoscopic surgery for ovary benign tumor.Methods FromFebruary2016 to February2018,120 patients undergoing laparoscopic surgery were divided into the enhanced recovery after surgery group(ERASG,60 cases)andthe conventional surgery group(CSG,60 cases).Postoperative recovery,complications,hospitalization time were compared between ERASG and CSG.The postoperative pain degree was evaluated with visual analogue scale(VAS)at different time points after operation.Results Postoperative anal exhaust time,hospital stay and VAS scores ofERASG were less/shorter than CSG(P<0.05).Statistical analysis showed that there wasno significant difference in operation time and the intraoperative blood lossbetween the two groups(P>0.05).Conclusion Patients in ERASG have quicker postoperative recovery than those in CSG,with similar postoperative complications.
作者
王慧香
翟建军
肖巍
潘燕
WANG Hui-xiang;ZHAI Jian-jun;XIAO Wei(Department of Obstetrics and Gynecology,Beijing Tongren Hospital Affiliated to Capital Medical University,Beijing 100730,China)
出处
《中国实验诊断学》
2019年第7期1165-1167,共3页
Chinese Journal of Laboratory Diagnosis
关键词
卵巢良性肿瘤
腹腔镜
加速康复外科
ovary benign tumor
laparoscope
enhanced recovery after surgery
