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加速康复外科在妇科腔镜手术中的应用体会

程传喜 郭玲 柳兆芳

腹腔镜外科杂志2017,Vol.22Issue(9):700-704,5.
腹腔镜外科杂志2017,Vol.22Issue(9):700-704,5.DOI:10.13499/j.cnki.fqjwkzz.2017.09.700

加速康复外科在妇科腔镜手术中的应用体会

Application of enhanced recovery after surgery in gynecological laparoscopic surgery

程传喜 1郭玲 2柳兆芳2

作者信息

  • 1. 皖南医学院研究生学院,安徽 芜湖,241001
  • 2. 皖南医学院弋矶山医院
  • 折叠

摘要

Abstract

Objective:To evaluate the safety and efficiency of enhanced recovery after surgery ( ERAS) program used in gyne-cological laparoscopic surgery .Methods:Two hundred patients undergoing gynecologic laparoscopic surgery were randomly divided into two groups:ERAS group and control group .ERAS Group adopted ERAS strategy ,control group adopted conventional therapy strategy . Postoperative pain was measured by visual analogue score at 2 h,6 h,12 h,24 h after surgery.First anal exhaust time,postoperative nausea and vomiting occurrence rate ,postoperative hospital stay ,total hospitalization expenditure and other complications were compara-tively analyzed.Results:Compared with control group ,visual analogue score and nausea and vomiting occurrence rate at 2 h,6 h and 12 h after surgery was significantly reduced (P<0.05);first anal exhaust time,postoperative hospital stay and total expenses of hospitali-zation was less in ERAS group (P<0.05).There was no significant difference in other postoperative complications between the two groups.Conclusions:ERAS strategy can be used for gynecological laparoscopic surgery safely .It can effectively promote postoperative recovery,shorten hospital stay and reduce medical costs .

关键词

妇科外科手术/加速康复外科/腹腔镜检查

Key words

Gynecologic surgical procedures/Enhanced recovery after surgery/Laparoscopy

分类

医药卫生

引用本文复制引用

程传喜,郭玲,柳兆芳..加速康复外科在妇科腔镜手术中的应用体会[J].腹腔镜外科杂志,2017,22(9):700-704,5.

腹腔镜外科杂志

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