局解手术学杂志2026，Vol.35Issue(3)：232-236,5.DOI:10.11659/jjssx.08E025042
加速康复外科方案依从性对急诊剖宫产术后恢复的影响
Effect of enhanced recovery after surgery protocol adherence on postoperative recovery in patients undergoing emergency cesarean section
摘要
Abstract
Objective To evaluate the effect of adherence to enhanced recovery after surgery(ERAS)protocol on postoperative recovery in patients undergoing emergency cesarean section.Methods A total of 576 patients who underwent emergency cesarean section at our hospital from January 2023 to September 2024 were included.All patients followed the obstetric ERAS protocol,and were divided into the high-adherence group(adherence rate>80%,n=242)and the low-adherence group(adherence rate≤80%,n=334)based on the adherence rate.The following parameters were compared between the two groups:general clinical data,adherence to ERAS elements,Clavien-Dindo graded complications within 30 days after operation,postoperative hospital stay,30-day readmission rate,static and dynamic visual analogue scale(VAS)scores 6 hours,24 hours,48 hours,and 72 hours after operation,postoperative use of analgesic pump,postoperative functional recovery,and volume of vaginal bleeding.Results There were statistically significant differences between the two groups in terms of anesthesia method,preoperative hemoglobin,intraoperative blood loss,blood transfusion,and postoperative hemoglobin(P<0.05).Patients in the high-adherence group had a higher overall ERAS adherence rate than those in the low-adherence group(P<0.001).The times to first fluid intake,diet intake,ambulation,flatus,and urinary catheter removal in the high-adherence group were all earlier than those in the low-adherence group(P<0.001).Compared with the low-adherence group,the high-adherence group showed lower static and dynamic VAS scores 6 hours,24 hours,48 hours,and 72 hours after operation(P<0.05),a lower rate of postoperative use of analgesic pump(P<0.05),and reduced volume of vaginal bleeding 24 hours after operation(P<0.05).The low-adherence group exhibited higher proportions of postoperative fever,intestinal obstruction,and postoperative blood transfusion,and a higher total incidence of complications(P<0.05),as well as a longer postoperative hospital stay than those in the high-adherence group(P<0.05).There was no statistically significant difference in the 30-day readmission rate between the two groups(P>0.05).Conclusion Improving adherence to the ERAS protocol can reduce postoperative complications,shorten the postoperative hospital stay,alleviate pain and promote postoperative recovery in patients undergoing emergency cesarean section.关键词
加速康复外科/急诊剖宫产/依从性/并发症/术后恢复Key words
enhanced recovery after surgery/emergency cesarean section/adherence/complications/postoperative recovery分类
医药卫生引用本文复制引用
王丹,方开云..加速康复外科方案依从性对急诊剖宫产术后恢复的影响[J].局解手术学杂志,2026,35(3):232-236,5.基金项目
贵州省科技计划项目(黔科合支撑[2019]2815) （黔科合支撑[2019]2815）
