中国医学创新2025，Vol.22Issue(15)：36-41,6.DOI:10.3969/j.issn.1674-4985.2025.15.009
经脐单孔腹腔镜下全子宫切除术围手术期不同方式液体管理的对比分析
Comparative Analysis of Different Fluid Management Strategies during the Perioperative Period of Transumbilical Single-Port Laparoscopic Total Hysterectomy
薛阳 1靳冬冬 1李飞燕 1贾梦玲 1吴玥琳 1杨立1
作者信息
- 1. 郑州大学第三附属医院妇科 河南 郑州 450052
- 折叠
摘要
Abstract
Objective:To explore the application value of different fluid management methods during the perioperative period in transumbilical single-port laparoscopic total hysterectomy.Method:A total of 100 patients who underwent transumbilical single-port laparoscopic total hysterectomy at the Third Affiliated Hospital of Zhengzhou University from January to November 2024 were selected.The patients were divided into the experimental group and the control group according to the random number table method,with 50 cases in each group.The control group adopted the conventional intravenous rehydration regimen for fluid management during the perioperative period,while the experimental group was given Oral Rehydration Salts Powder Ⅲ for fluid management during the perioperative period.The preoperative self-perceived scores,serum electrolyte levels,inflammatory response conditions,recovery of gastrointestinal function,incidence of adverse reactions,postoperative hospital stay and surgical costs between the two groups were compared.Result:The preoperative thirst perception score and the total score of self-perception in the experimental group were both lower than those in the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in the preoperative scores of hunger,anxiety and activity limitation between the two groups(P>0.05).Two days after the operation,the serum K+level in the experimental group was higher than that in the control group,while the white blood cell count and C reactive protein levels were lower than those in the control group,the differences were statistically significant(P<0.05).Two days after the operation,there was no statistically significant difference in the percentage of neutrophils between the two groups(P>0.05).There were no statistically significant differences in the incidences of hypokalemia and hypocalcemia between the two groups(P>0.05).The time of the first anal exhaust in the experimental group was earlier than that in the control group,the difference was statistically significant(P<0.05).There were no statistically significant differences in the anesthesia recovery time,the time of the first defecation and the time of getting out of bed for activities between the two groups(P>0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(P>0.05).The postoperative hospital stay of the experimental group was shorter than that of the control group,and the hospitalization cost was less than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Oral Rehydration Salts Powder Ⅲ given to patients undergoing transumbilical single-port laparoscopic total hysterectomy during the perioperative period can improve the preoperative thirst sensation and postoperative water and electrolyte imbalance of patients,effectively promote the recovery of gastrointestinal function after surgery,reduce the occurrence of various adverse reactions after surgery,and alleviate the medical burden of patients.关键词
口服补液盐/经脐单孔腹腔镜/全子宫切除术/加速康复外科/围手术期Key words
Oral Rehydration Salts/Transumbilical single-port laparoscopic/Total hysterectomy/Enhanced recovery after surgery/Perioperative period引用本文复制引用
薛阳,靳冬冬,李飞燕,贾梦玲,吴玥琳,杨立..经脐单孔腹腔镜下全子宫切除术围手术期不同方式液体管理的对比分析[J].中国医学创新,2025,22(15):36-41,6.
