快速康复外科在腹腔镜子宫肌瘤切除术中的应用*

Application of enhanced recovery after surgery for laparoscopic myomectomy*

摘要:

目的 评估快速康复外科（ERAS）在腹腔镜子宫肌瘤切除术中的应用。方法 选取2018年1月— 2019年1月南京医科大学附属淮安第一医院100例因子宫肌瘤行腹腔镜子宫肌瘤切除术的患者。分为ERAS组和对照组，每组50例。观察两组患者术中及术后的临床指标。结果 两组手术时间和术中出血量比较，差异无统计学意义（P?>0.05）；ERAS组术后首次排气时间、禁食时间、首次下床活动时间、术后住院时间与对照组比较，差异有统计学意义（P?<0.05），ERAS组较对照组缩短。两组患者首次排便时间、腹腔引流管拔除时间比较，差异无统计学意义（P?>0.05）；术后早期均无并发症。结论 对腹腔镜子宫肌瘤切除术的患者，在围手术期应用ERAS，可缩短住院时间并促进患者康复。

Abstract:

Objective To evaluate the application of enhanced recovery after surgery (ERAS) for laparoscopic myomectomy. Methods A total of 100 patients from January 2018 to January 2019 were selected and divided into the ERAS group (n?=?50) and the control group (n?=?50). The observed indexes included operation indexes and postoperative clinical indexes. Results There was no significant difference in operation time and volume of intraoperative blood loss between the two groups (P?>?0.05). Compared with the control group, the time to initial anal exhaust, time to initial liquid diet intake, time to out-of-bed activity and duration of hospital stay of patients without complications were lower than those in the control group (P??0.05); there was no early postoperative complications between two groups. Conclusions The ERAS for laparoscopic myomectomy can shorten hospital stay and accelerate recovery.