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[1]王艳,黄敏.加速康复外科在卵巢良性肿瘤患者行经脐单孔腹腔镜手术的运用分析[J].医学研究与战创伤救治(原医学研究生学报),2021,23(03):267-270.[doi:10.3969/j.issn.1672-271X.2021.03.010]
　WANG Yan,HUANG Min.Analysis of the application of accelerated rehabilitation surgery in patients with benign ovarian tumor undergoing single hole laparoscopic surgery[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2021,23(03):267-270.[doi:10.3969/j.issn.1672-271X.2021.03.010]
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加速康复外科在卵巢良性肿瘤患者行经脐单孔腹腔镜手术的运用分析()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第23卷
期数:
2021年03期
页码:
267-270
栏目:
临床研究
出版日期:
2021-06-20

文章信息/Info

Title:
Analysis of the application of accelerated rehabilitation surgery in patients with benign ovarian tumor undergoing single hole laparoscopic surgery
作者:
王艳; 黄敏
作者单位：236015阜阳，阜阳市第二人民医院妇科（王艳、黄敏）
Author(s):
WANG Yan;  HUANG Min
(Department of Gynecology, the Second People’s Hospital of Fuyang City, Fuyang 236015, Anhui,China)
关键词:
加速康复外科; 卵巢良性肿瘤; 经脐单孔腹腔镜手术
Keywords:
accelerated rehabilitation surgery;  ovarian benign tumor;  transumbilical laparoscopic surgery
分类号:
R737.3
DOI:
10.3969/j.issn.1672-271X.2021.03.010
文献标志码:
A
摘要:
目的分析加速康复外科（ERAS）在卵巢良性肿瘤患者行经脐单孔腹腔镜手术的运用。方法选择2017年4月至2020年4月阜阳市第二人民医院收治的符合纳入标准的94例卵巢良性肿瘤患者，采用随机数字表法分为ERAS组、对照组,每组各47例，均予经脐单孔腹腔镜手术治疗，对照组围术期行常规干预，ERAS组行基于ERAS理念的围术期干预。记录并比较2组患者手术时间、术中出血量等手术情况，排气时间、住院时间等恢复情况，以及术后并发症发生情况、术后疼痛视觉模拟评分（VAS）变化。结果2组手术时间、术中出血量比较，差异无统计学意义（P＞0.05）。ERAS组术后肛门排气时间、下床活动时间、住院时间、住院费用分别为（13.15±0.84）h、（15.71±1.28）h、（2.95±0.48）d、（9581.44±125.69）元，均低于对照组的（16.59±0.91）h、（26.95±1.33）h、（3.79±0.54）d、（10392.76±241.78）元，差异均有统计学意义（P＜0.01）。ERAS组、对照组术后并发症发生率分别为2.13%（1/47）、4.26%（2/47），组间比较差异无统计学意义（P>0.05）。2组术后24 h、术后36 h、术后48 h VAS评分均较术后6 h下降，ERAS组术后6 h、术后24 h、术后36 h、术后48 h VAS评分均低于对照组同期评分，差异有统计学意义（P＜0.01）。结论卵巢良性肿瘤患者经脐单孔腹腔镜手术围术期应用ERAS，能够缩短患者术后恢复时间、降低术后疼痛。
Abstract:
ObjectiveTo analyze the application of enhanced recovery after surgery (ERAS) in the treatment of ovarian benign tumor by single umbilical hole laparoscopic surgery.MethodsFrom April 2017 to April 2020, a total of 94 patients with ovarian benign tumors were randomly divided into ERAS group (n=47) and control group (n=47). All patients were treated with single hole laparoscopic surgery through umbilicus. Routine intervention was performed in the control group during the perioperative period, and the ERAS group based on the idea of eras. The operation time, intraoperative bleeding volume, the recovery of exhaust time and hospitalization time, the occurrence of postoperative complications and the change of visual analog pain scale (VAS) were compared between two groups.ResultsThere was no significant difference between the ERAS group and the control group in operation time and bleeding volume (P>0.05). The postoperative anal exhaust time, the time to get out of bed, the hospitalization time, and the hospitalization expenses in the ERAS group were (13.15±0.84) h, (15.71±1.28) h, (2.95±0.48) d, and (9581.44±125.69) yuan, respectively, which were lower than those in the control group (16.59±0.91)h, (26.95±1.33)h, (3.79±0.54)d, (10392.76±241.78) yuan (all P<0.01). The incidence of postoperative complications in the ERAS group and the control group were 2.13% (1/47) and 4.26% (2/47), respectively. There was no significant difference between two groups (P>0.05). The VAS scores of the two groups at 24 h, 36 h and 48 h were lower than those of the control group at 6 h, 24 h, 36 h and 48 h respectively (P<0.01).ConclusionThe perioperative application of eras in patients with benign ovarian tumor can shorten the postoperative recovery time and reduce postoperative pain.

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备注/Memo

备注/Memo:
基金项目：安徽省医药卫生科技计划项目（19MH19369）
更新日期/Last Update: 2021-06-17