李霞 刘娅

【摘要】 目的：探讨加速康复外科在妇科经腹腔镜手术患者围手术期中的应用效果。方法：选择2020年1月-2021年1月本院接收并择期接受经腹腔镜手术的妇科疾病患者120例，将其随机分为观察组和对照组，围手术期，对照组给予常规妇科护理，观察组在常规妇科护理基础上，将加速康复外科的理念融入围手术期患者管理，比較两组各临床指标。结果：观察组首次排气时间、首次排便时间、首次下床活动时间、进食时间、拔除尿管时间和术后住院时间均短于对照组，差异均有统计学意义（P<0.05）。观察组术后并发症发生率为6.7%，明显低于对照组的26.6%，患者总满意度为93.3%，明显高于对照组的70.0%，差异均有统计学意义（字2=8.642、10.909，P=0.003、0.001）。结论：加速康复外科在妇科经腹腔镜手术患者围手术期中的应用效果良好，可加速术后康复，减少术后并发症，提高患者的满意度，值得推广。

【关键词】 加速康复外科 妇科 经腹腔镜 围手术期

Clinical Effect of Enhanced Recovery after Surgery in Patients Receiving Gynecological Laparoscopic Surgery during Perioperative Period/LI Xia， LIU Ya. //Medical Innovation of China， 2021， 18（14）： -171

[Abstract] Objective： To explore the clinical effect of enhanced recovery after surgery in patients who receiving gynecological laparoscopic surgery during perioperative period. Method： A total of 120 gynecological diseases patients who accepted laparoscopic surgery from January 2020 to January 2021 in our hospital were selected and randomly divided into the observation group and the control group. During perioperative period， the control group was given routine gynecological nursing， while on the basis of routine gynecology nursing， the observation group was integrating the concept of accelerated rehabilitation surgery into perioperative patient management integrated the concept of enhanced recovery after surgery into perioperative patient management， and the clinical indexes of two groups were compared. Result： The first exhaust time， first defecation time， first ambulation time， eating time， catheter removal time and postoperative hospital stay of the observation group were shorter than those of the control group， the differences were statistically significant （P<0.05）. The incidence of postoperative complications in the observation group was 6.7%， which was significantly lower than 26.6% in the control group， the total satisfaction of patients was 93.3%， which was significantly higher than 70.0% of the control group， the differences were statistically significant （字2=8.642， 10.909， P=0.003， 0.001）. Conclusion： The application of enhanced recovery after surgery in patients undergoing gynecological endoscopic surgery has a good clinical effect， which can accelerate postoperative rehabilitation， reduce postoperative complications， improve patient satisfaction， and it is very valuable to promulgation and application.

[Key words] Enhanced recovery after surgery Gynecology Laparoscope Perioperative period

First-authors address： Heze Municicipal Hospital， Heze 274000， China

doi：10.3969/j.issn.1674-4985.2021.14.040

加速康复外科（ERAS）是通过循证医学一系列的證据对围手术期实施优化处理措施，能够最大强度地减少外科手术对患者的创伤和应激，并加速患者术后恢复[1]。随着我国经济水平的日益发展和生活水平的快速提高，患者对住院期间的体验度、舒适度、围手术期的并发症发生率及术后快速康复的关注度日益提高，因此，加速康复外科理念应运而生，在临床上日益广泛应用。鉴于此，此次研究将本院接收并择期接受经腹腔镜手术治疗的120例妇科疾病患者进行调查分析，探讨加速康复外科在妇科经腹腔镜手术患者中的临床应用效果。现报告如下。

1 资料与方法

1.1 一般资料 选择2020年1月-2021年1月本院接收并择期接受经腹腔镜手术的妇科良性疾病患者120例，年龄20～45岁，平均（32.82±2.96）岁;卵巢囊肿46例，子宫肌瘤32例，子宫内膜异位18例，输卵管系膜囊肿或不通24例。……