河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (4): 406-409.doi: 10.3969/j.issn.1007-3205.2021.04.008

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快速康复在择期剖宫产围手术期的应用研究

  

  1. 1.广西壮族自治区梧州市红十字会医院产科,广西 梧州 543002;2.广西壮族自治区梧州市
    红十字会医院妇产科,广西 梧州 543002
  • 出版日期:2021-04-25 发布日期:2021-04-28
  • 作者简介:姚毓筠(1971-),女,广西平南人,广西壮族自治区梧州市红十字会医院副主任医师,从事产科疾病诊治研究。
  • 基金资助:
    梧州市科学研究与技术开发计划项目(201902163)

Application of enhanced recovery after surgery in perioperative period of elective cesarean section

  1. 1.Department of Obstetrics, Red Cross Hospital of Wuzhou City, Guangxi Zhuang Autonomous Region, 
    Wuzhou 543002, China; 2.Department of Obstetrics and Gynecology, Red Cross Hospital of 
    Wuzhou City, Guangxi Zhuang Autonomous Region, Wuzhou 543002, China
  • Online:2021-04-25 Published:2021-04-28

摘要: 目的  探究快速康复(enhanced recovery after surgery, ERAS)在择期剖宫产围手术期的应用效果。
方法  选取本院收治的择期剖宫产患者220例。按照随机数字表分为对照组与研究组各110例。对照组传统康复模式,研究组采用ERAS模式,观察比较两组术后疼痛程度、术后排尿时间、术后排气时间、术后并发症、术后下床时间及满意度。
结果  两组术后2 d疼痛程度较术后1 d均有所缓解,时点间差异有统计学意义(P<0.05),组间和组间·时点间交互作用差异无统计学意义(P>0.05)。研究组在排尿时间、肛门首次排气时间均少于对照组(P<0.05)。研究组在术后并发症、术后住院时间少于对照组(P<0.05)。研究组满意度上优于对照组(P<0.05)。
结论  ERAS运用于择期剖宫产围手术期能实现术后6 h拔除尿管、下床活动,早排尿,促进肠胃功能恢复,减少术后并发症,加速术后恢复,提高患者满意程度,值得临床推广。


关键词: 择期剖宫产, 围手术期, 快速康复, 效果

Abstract: Objective  To explore the application effect of enhanced recovery after surgery in perioperative period of elective cesarean section(C-section). 
Methods  A total of 220 patients undergoing elective C-section in our hospital were enrolled in this study. According to the random number table, 110 cases were divided into control group(n=110) and research group(n=100). The control group was treated with the traditional rehabilitation mode, while the research group was treated with the ERAS. The differences of postoperative pain, postoperative urination time, postoperative exhaust time, postoperative complications, time of off-bed activity, length of hospital stay and satisfaction were observed between two groups. 
Results  The pain of the two groups was relieved at 2 d after operation compared with that at 1 d after operation. The difference between time points was statistically significant(P<0.05), while the difference between groups and time points between groups was not statistically significant(P>0.05). The time of urination and the first time of anal exhaust in the research group were less than those in the control group(P<0.05). The postoperative complications and hospitalization days of the research group were fewer than those of the control group(P<0.05). The satisfaction of the research group was higher than that of the control group(P<0.05). 
Conclusion  The application of ERAS in the perioperative period of elective C-section can ensure the removal of urinary tube and off-bed activity within 6 h after operation, early urination, promote the recovery of gastrointestinal function, reduce postoperative complications, accelerate postoperative recovery, and improve patient satisfaction. Therefore, it is worthy of clinical promotion.


Key words: elective cesarean section, perioperative period, ERAS, the effect