| 郝 群,滕 慧,胡玉莉,嵇晓红,吴元赭,章 琼.加速康复外科理念在根治性子宫切除术患者中的应用研究[J].,2019,19(19):3678-3681 |
| 加速康复外科理念在根治性子宫切除术患者中的应用研究 |
| Application of Enhanced Recovery after Surgery in the Patients with Cervical Cancer Undergoing Radical Hysterectomy |
| 投稿时间：2019-02-25 修订日期：2019-03-21 |
| DOI：10.13241/j.cnki.pmb.2019.19.018 |
| 中文关键词: 加速康复外科 宫颈癌 根治性子宫切除术 |
| 英文关键词: Enhanced Recovery After Surgery Cervical cancer Radical hysterectomy |
| 基金项目:江苏省六大人才高峰资助项目(2015-WSW-045) |
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| 中文摘要: |
| 摘要 目的：探讨加速康复外科理念对行根治性子宫切除术的宫颈癌患者的围手术期应用价值。方法：选取2013年1月至2018年7月在我院行因宫颈癌行根治性子宫切除术的66例患者作为研究对象。将入院患者随机分为观察组及对照组，观察组接受加速康复外科理念治疗(30例)，对照组为常规治疗组(36例)。比较两组患者的肠鸣音恢复时间、肛门排气时间、下床行走时间、术后住院时间以及术后并发症的发生情况。结果：观察组与对照组肠鸣音恢复时间分别为(35.9±3.4)h及(39.6±3.0)h，术后首次排气时间分别为(50.7±2.7)h及(54.8±3.2)h，下床行走时间分别为(49.9±2.6)h及(53.6±3.2)h。术后住院时间分别为(7.6±1.7)d 及(9.2±1.8)d，观察组以上指标均显著短于对照组(P＜0.01)。观察组与对照组的术后并发症总发生率分别为10.11%及23.44%，观察组显著低于对照组(P＜0.05)。两组拔除尿管后尿潴留的发生情况比较差异无统计学意义(P>0.05)。结论：加速康复外科理念用于宫颈癌根治术患者的围手术期可有效加速患者的康复，且安全性较高。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the application value of enhanced recovery after surgery (EARS) for the perioperative period of cervical cancer patients undergoing radical hysterectomy. Methods: 66 cases of patients with cervical cancer undergoing radical hysterectomy from January 2013 to July 2018 were selected and randomly divided into the observation group and the control group. The control group was treated by routine perioperative intervention(36 cases), while the observation group was treated by EARS theory to perioperative intervention(30 cases). The intestinal sound recovery time, evacuation time, time to walk out of bed, postoperative hospitalization time and postoperative complications were compared between the two groups. Results: The intestinal sound recovery time of observation group and control group was (35.9±3.4 ) h and (39.6±3.0 ) h respectively, the first evacuation time after operation was (50.7±2.7) h and ( 54.8±3.2 ) h respectively, and the time to walk out of bed was (49.9±2.6) h and (53.6±3.2) h respectively. The postoperative hospitalization time was (7.6±1.7) d and (9.2±1.8) d respectively. The above indexes in the observation group were significantly shorter than those in the control group(P＜0.01). The total incidence of postoperative complications in the observation group and the control group was 10.11% and 23.44%, respectively, and the observation group was significantly lower than that in the control group (P＜0.05). There was no significant difference in the occurrence of urinary retention after the removal of urinary tract in the two groups (P>0.05). Conclusion: The application of ERAS theory on patients with cervical cancer undergoing radical hysterectomy can effectively accelerate the rehabilitation of patients with higher safety. |
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