局解手术学杂志2025，Vol.34Issue(6)：544-547,4.DOI:10.11659/jjssx.06E024094
加速康复外科策略在二次剖宫产手术中的应用
Application of enhanced recovery after surgery strategy in secondary cesarean delivery
摘要
Abstract
Objective To explore the application effect of enhanced recovery after surgery(ERAS)strategy in secondary cesarean delivery.Methods A total of 90 puerperae who underwent elective secondary cesarean delivery in our hospital were enrolled and randomly divided into the observation group and the control group,with 45 cases in each group.Puerperae in the observation group adopted ERAS management,and puerperae in the control group adopted routine management.The postoperative recovery indicators,clinical outcome indicators,scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Kolcaba general comfort questionnaire(GCQ)of puerperae between the two groups were compared.Results The obstetric quality of recovery-11(ObsQoR-11)score 24 hours after surgery of puerperae in the observation group was higher than that in the control group(P<0.05),the recovery time of postoperative bowel sounds and first defecating time were shorter than those in the control group(P<0.05),the height of uterine fundus 72 hours after surgery was lower than that in the control group(P<0.05),the incidences of moderate to severe pain at rest and during cough were lower than those in the control group(P<0.05).There was no statistically significant difference in the incidence of neonatal transfer to the intensive care unit or the incidence of jaundice between the two groups(P>0.05);while the incidences of intraoperative hypotension,nausea and vomiting,chills,and postoperative abdominal distension,nausea and vomiting of puerperae in the observation group were lower than those in the control group(P<0.05),postoperative vaginal bleeding volume within 24 hours was less than that in the control group(P<0.05).After intervention,the SAS,SDS and GCQ scores of puerperae in both groups were lower than those before intervention(P<0.05),and the SAS and SDS scores of puerperae in the observation group were lower than those in the control group(P<0.05),the GCQ score was higher than that in the control group(P<0.05).Conclusion ERAS strategy used for secondary cesarean delivery can improve clinical outcomes and psychological state of puerperae,increase comfort level,and promote postoperative recovery.关键词
加速康复外科/二次剖宫产/术后恢复/临床结局/舒适度Key words
enhanced recovery after surgery/secondary cesarean delivery/postoperative recovery/clinical outcome/comfort level分类
医药卫生引用本文复制引用
孔德华,朱朋,孔宪刚..加速康复外科策略在二次剖宫产手术中的应用[J].局解手术学杂志,2025,34(6):544-547,4.基金项目
济宁市重点研发计划项目(2021YXNS112) （2021YXNS112）
