加速康复外科在腹腔镜妇科手术中的应用

目的 探讨加速康复外科措施在行妇科腹腔镜微创手术的患者围手术期中应用价值。方法 选择2018年5～10月在本院妇科非恶性肿瘤疾病住院行妇科腹腔镜微创手术治疗的患者116例,随机分为观察组和对照组两组,每组58例。观察组采用加速康复外科理念措施,对照组采用传统方法进行围手术期处理,比较两组患者手术时间、麻醉时间、术后疼痛、术后恶心呕吐、术后肛门排气恢复时间、住院时间、住院费用以及手术并发症。结果两组患者手术时间、麻醉时间比较无明显差异;观察组术后疼痛、术后恶心呕吐的发生及腹泻、腹胀并发症均少于对照组,术后肛门排气时间早于对照组,住院时间以及住院费用少于对照组,差异有统计学意义(P0.05)。结论妇科非恶性肿瘤患者行腹腔镜微创手术采用加速康复外科措施进行围手术期处理,有助于患者术后恢复,减轻患者术后疼痛,减少部分术后并发症,缩短住院时间,降低住院费用,同时安全、有效,值得在妇科腹腔镜手术中进行推广。

Application of accelerated rehabilitation surgery in laparoscopic gynecological surgery

Objective To investigate the application value of accelerated rehabilitation surgery in the perioperative period in the patients undergoing gynecological laparoscopic minimally invasive surgery.Methods 116 patients were selected who were hospitalized in the department of gynecology in our hospital due to non-malignant tumors and were given gynecological laparoscopic minimally invasive surgery from May to October 2018.They were randomly divided into two groups:those given the accelerated rehabilitation surgery measures were assigned to the observation group,and those given traditional methods were assigned to the control group.They were all given perioperative treatment.The operation time,anesthesia time,postoperative pain,postoperative nausea and vomiting,postoperative anal exhaust recovery time,length of hospital stay,hospitalization expenses,and surgical complications were compared between the two groups.Results The two groups of patients were compared:there was no significant difference in operation time and anesthesia time; postoperative pain,postoperative nausea and vomiting,and complications such as diarrhea and abdominal distension were lower in the observation group than in the control group.Postoperative anal exhaust time was earlier in the observation group than the control group.The length of stay and hospitalization expenses in the observation group were less than the control group.The differences were statistically significant(P<0.05).Conclusion Accelerated rehabilitation surgery in the perioperative period for laparoscopic minimally invasive surgery for gynecological non-malignant tumors is helpful for postoperative recovery,reducing postoperative pain,reducing postoperative complications,shortening hospital stay,and reducing hospitalization expenses.At the same time,it is safe and effective,which is worthy of promotion in gynecological laparoscopic surgery.