国际医药卫生导报2023，Vol.29Issue(23)：3399-3402,4.DOI:10.3760/cma.j.issn.1007-1245.2023.23.017
加速康复外科在耳内镜下鼓膜修补术围手术期的应用研究
Application of enhanced recovery after surgery in the perioperative period of endoscopic myringoplasty
摘要
Abstract
Objective To investigate the efficacy and safety of enhanced recovery after surgery(ERAS)in the perioperative period of endoscopic myringoplasty.Methods This was a randomized controlled trial.A total of 40 patients with chronic suppurative otitis media stationary phase who underwent endoscopic myringoplasty in Fengcheng People's Hospital from January 2021 to June 2022 were prospectively selected as the study objects,and were divided into a ERAS group(20 cases)and a control group(20 cases)by the random number table method.In the ERAS group,there were 4 males and 16 females,aged(45.7±11.6)years,and the perioperative management was performed using ERAS model.In the control group,5 males and 15 females,aged(46.5±12.4)years,were treated with traditional perioperative management.The preoperative anxiety,postoperative comfort,pain,adverse reactions,length of stay,and hospitalization cost were compared between the two groups.t test and x2 test were used.Results The preoperative Self-rating Anxiety Scale(SAS)score of the ERAS group was(27.31±1.54)points,which was lower than that of the control group[(34.82±5.13)points],with a statistically significant difference(t=6.270,P＜0.001).On day 1 and day 2 after surgery,the Kolcaba General Comfort Questionnaire(GCQ)score of the ERAS group was higher than that of the control group[(89.53±7.85)points vs.(83.24±7.21)points,(87.31± 7.67)points vs.(81.03±8.45)points],but the VAS score was lower than that of the control group[(1.73±1.12)points vs.(3.00±1.31)points,(1.59±1.06)points vs.(2.78±1.27)points],with statistically significant differences(t=2.639,2.461,3.295,and 3.217,all P＜0.05).There were no statistically significant differences in the length of stay or hospitalization cost between the two groups(t=0.914 and 1.464,both P＞0.05).There was no bleeding in the ear incision,and no adverse events such as vertigo,nausea,vomiting,or aspiration occurred in the two groups.Conclusion ERAS has definite effects in the perioperative period of endoscopic myringoplasty,which can relieve the preoperative anxiety,reduce the postoperative pain,and improve the postoperative comfort.关键词
加速康复外科/耳内镜/鼓膜修补术/围手术期管理Key words
Enhanced recovery after surgery/Otoscope/Myringoplasty/Perioperative management引用本文复制引用
熊辉强,潘鸿桂,曹小青,甘文鹉..加速康复外科在耳内镜下鼓膜修补术围手术期的应用研究[J].国际医药卫生导报,2023,29(23):3399-3402,4.基金项目
江西省卫生健康委普通科技计划项目(202140839)General Science and Technology Project of Jiangxi Provincial Health Commission(202140839) （202140839）
