加速康复措施对腹腔镜子宫内膜癌根治术患者术后康复的影响

查爱美; 王小艺; 柴梅园

doi:10.12025/j.issn.1008-6358.2020.20200219

加速康复措施对腹腔镜子宫内膜癌根治术患者术后康复的影响

Effect of enhanced recovery after surgery on postoperative rehabilitation after laparoscopic surgery in patients with endometrial carcinoma

摘要

摘要:
目的探讨加速康复外科（enhanced recovery after surgery，ERAS）措施对腹腔镜子宫内膜癌根治术患者术后康复的影响。
方法收集行腹腔镜分期手术的子宫内膜癌患者92例，分为2组：ERAS组（n=46）和对照组（n=46）。对照组患者实施常规妇科手术围手术期处理，ERAS组患者采用加速康复外科措施进行围术期干预，比较两组患者术后康复相关指标。
结果 ERAS组患者术后下床活动时间、肛门排气、排便时间、平均住院日、平均住院费用均少于对照组，差异有统计学意义（P < 0.05）。ERAS组围术期并发症发生率低于对照组，差异有统计学意义（P < 0.05）。
结论加速康复可促进腹腔镜子宫内膜癌根治术患者术后恢复，缩短平均住院日及降低住院费用，降低患者术后并发症的发生。

Abstract:
Objective To analyze the clinical effects of enhanced recovery after surgery (ERAS) on perioperative period of laparoscopic surgery in patients with endometrial carcinoma.
Methods Totally, 92 patients with endometrial cancer undergoing laparoscopic surgery were randomly divided into ERAS group and control group (n=46 in each group). The patients in the control group were given routine nursing, and the patients in group ERAS were treated with the idea of ERAS, the postoperative rehabilitation of the two groups was analyzed.
Results The time to ambulation, first flatus, first defecation, average hospital stay, and average expenditure in the ERAS group were significantly shorter or less than those of the control group (all P < 0.05), and the incidence of complications in ERAS group was lower than that of the control group(P < 0.05).
Conclusions ERAS is safe and effective for patients with endometrial cancer undergoing laparoscopic surgery, which may promote the rehabilitation, reduce postoperative hospital stay and the overall cost.

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