快速康复外科策略在环状混合痔围手术期治疗中的应用

目的探讨加速康复外科在环状混合痔围手术期中的应用效果。方法选取我院2020年1月~2020年12月收治的280例环状混合痔患者,分为ERAS组(快速康复外科组,144例)与对照组(传统组,136例),进行回顾性研究,比较两组患者围手术期的相关评价指标。结果两组均顺利完成手术,ERAS组术后肛周疼痛评分、强效镇痛使用率、急性尿潴留比率均低于对照组,差异有统计学意义(P<0.05);两组术后继发性出血、出血再手术、吻合口狭窄的发生率比较差异无统计学意义(P>0.05)。ERAS组在术后住院天数、住院费用少于对照组,差异有统计学意义(P<0.05)。结论加速康复外科策略能减轻环状混合痔患者术后肛周疼痛,减少急性尿潴留,缩短术后住院时间,节约医疗费用,其临床应用安全可行。

Application of enhanced recovery after surgery(ERAS)in the treatment of annular mixed hemorrhoids during perioperative period

Objective To investigate the application effect of enhanced recovery after surgery(ERAS)in the perioperative period of annular mixed hemorrhoids.Methods 280 patients with annular mixed hemorrhoids admitted to our hospital from January 2020 to December 2020 were selected and divided into ERAS group(n=144)and control group(n=136)respectively.A retrospective study was conducted to compare the perioperative evaluation indicators of the two groups of patients.Results The operation was successfully completed in both groups.The postoperative perianal pain score,the use rate of strong analgesia,and the rate of acute urinary retention in the ERAS group were significantly lower than those in the control group(P<0.05).There was no significant difference between the two groups in the incidence of postoperative secondary bleeding,bleeding reoperation and anastomotic stenosis(P>0.05).The ERAS group did not increase the operation time,and the postoperative hospitalization days and hospitalization expenses were significantly less than those in the control group(P<0.05).Conclusion ERAS can relieve postoperative perianal pain,reduce acute urinary retention,shorten postoperative hospitalization time,and save medical expenses in patients with annular mixed hemorrhoids.Therefore,its clinical application is safe and feasible.