中国医学前沿杂志(电子版)2017,Vol.9Issue(7):20-23,4.DOI:10.12037/YXQY.2017.07-05
加速康复外科在腹腔镜下肾部分切除术中的应用
The application of enhanced recovery after surgery in laparoscopic partial nephrectomy
刘晓飞 1李方正 1张庆凤 1姜爱华1
作者信息
- 1. 青岛大学附属烟台毓璜顶医院 麻醉科,山东 烟台264000
- 折叠
摘要
Abstract
Objective To analyze the application value of enhanced recovery after surgery (ERAS) for patients with laparoscopic partial nephrectomy.Method 67 cases of patients treated with laparoscopic partial nephrectomy from October 2016 to March 2017 in our hospital were selected as the research objects. They were divided into ERAS group (35 cases) and non-ERAS group (32 cases). The first exhaust time, the first ambulation time, the postoperative length of hospital stay, the hospitalization expense, the visual analogue scale (VAS) score at six hours after surgery, and incidence of nausea and vomiting were recorded and compared between the two groups.Result The first exhaust time, the first ambulation time, the postoperative length of hospital stay in ERAS group were significantly shorter than those of non-ERAS group (P<0.05), the hospitalization expense was significantly lower than that of non-ERAS group (P<0.05). 1 case with VAS score≥7 points in both groups after surgery respectively, there was no significant difference between the two groups (P>0.05). There was no significant difference in the incidence of nausea and vomiting between the two groups (P>0.05). Conclusion ERAS is considered to be safe and effective in laparoscopic partial nephrectomy, it can hasten the postoperative recovery, shorten postoperative length of hospital stay and decrease hospitalization expense.关键词
加速康复外科/腹腔镜下肾部分切除术/围术期管理Key words
Enhanced recovery after surgery/Laparoscopic partial nephrectomy/Perioperative management引用本文复制引用
刘晓飞,李方正,张庆凤,姜爱华..加速康复外科在腹腔镜下肾部分切除术中的应用[J].中国医学前沿杂志(电子版),2017,9(7):20-23,4.