摘要
目的观察以循证医学证据为基础的快速康复外科(ERAS)在腹腔镜卵巢囊肿手术护理中的应用效果。方法以接受腹腔镜卵巢囊肿手术治疗的86例患者作为研究对象,根据患者住院号单双数分为对照组(单数者)44例和ERAS组(双数者)42例。对照组采用常规围术期护理,ERAS组采用ERAS护理干预,比较2组患者尿管拔除时间、初次下床活动时间、胃肠功能恢复时间、住院时间和术后并发症发生情况。结果ERAS组尿管拔出时间、胃肠功能恢复时间和初次下床活动时间均早于对照组,差异有统计学意义(P<0.05);2组住院时间、术后并发症发生率比较,差异无统计学意义(P>0.05)。结论在妇科腹腔镜卵巢囊肿手术患者围术期实施ERAS护理干预安全有效,能够有效促进患者胃肠功能恢复,加速术后康复。
Objective To observe the effect of enhanced recovery after surgery(ERAS)based on evidence medicine in nursing of laparoscopic ovarian cystectomy.Methods A total of 86 patients who underwent laparoscopic ovarian cystectomy were selected as study objects,and they were divided into control group(44 cases with odd number)and ERAS group(42 cases with even number)according to the odd-even number of admission.The control group was treated with routine perioperative nursing,and the ERAS group was treated with ERAS nursing intervention.The extraction time of urinary catheter,the first time of getting out of bed,the recovery time of gastrointestinal function,the length of hospital stay and the incidence of postoperative complications were compared between the two groups.Results The catheter extraction time,gastrointestinal function recovery time and first getting out of bed activity time in the ERAS group were earlier than those in control group(P<0.05).There were no significant differences in the length of stay and the incidence of postoperative complications between the two groups(P>0.05).Conclusion ERAS nursing intervention in patients undergoing gynecological laparoscopic ovarian cyst surgery during perioperative period is safe and effective,and it can effectively promote the recovery of gastrointestinal function and accelerate postoperative recovery.
作者
张洪
郑亚峰
陈继明
蒋云芬
ZHANG Hong;ZHENG Yafeng;CHEN Jiming;JIANG Yunfen(Department of Gynecology,Changzhou Second People′s Hospital Affiliated to Nanjing Medical University,Changzhou,Jiangsu,213000)
出处
《实用临床医药杂志》
CAS
2021年第13期60-63,共4页
Journal of Clinical Medicine in Practice
基金
江苏省“333工程”科研资助项目(BRA2019161)
江苏省博士后科研资助计划(2019K064)
江苏省常州市卫生计生委重大科技项目(ZD201812)。
关键词
快速康复外科
腹腔镜卵巢囊肿手术
术后并发症
胃肠功能
护理
enhanced recovery after surgery
laparoscopic ovarian cystectomy
postoperative complications
gastrointestinal function
nursing
