摘要
目的:深入探讨加速康复外科(ERAS)理念在机器人辅助腹腔镜盆底重建手术中的应用疗效。方法:选取宁夏医科大学总医院2021年1月—2023年12月接受机器人辅助腹腔镜盆底重建手术的156例患者,随机分为ERAS组(n=76)与对照组(n=80)。对照组采用传统围手术期管理,而ERAS组依据ERAS理念实施围手术期管理,包括术前宣教、优化麻醉方案、微创手术技术以及术后早期进食和活动等措施。比较两组患者围手术期临床指标以及并发症发生率。结果:两组患者的手术时间及术中出血量比较,差异无统计学意义(P>0.05)。ERAS组患者的术后首次排气时间及住院时间明显短于对照组,术后多时点疼痛视觉模拟评分法(VAS)评分及并发症总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:ERAS应用于机器人辅助腹腔镜盆底重建手术具有显著的优势,可促进患者术后康复,缩短住院时间,降低并发症发生率,值得临床推广应用。
Objective:To comprehensively investigate the clinical efficacy of the enhanced recovery after surgery(ERAS)protocol in robot-assisted laparoscopic pelvic floor reconstruction surgery.Methods:A total of 156 patients who underwent robot-assisted laparoscopic pelvic floor reconstruction surgery at the General Hospital of Ningxia Medical University from January 2021 to December 2023 were enrolled.They were randomly divided into the ERAS group(n=76)and the control group(n=80).The control group received conventional perioperative management,while the ERAS group were given perioperative management based on the concept of ERAS,including preoperative education,optimized anesthesia protocols,minimally invasive surgical techniques,and early postoperative feeding and mobilization.Perioperative clinical indicators and complication rates were compared between the two groups.Results:No statistically significant differences were observed in operative time or intraoperative blood loss between the two groups(P>0.05).The ERAS group exhibited significantly shorter time to first postoperative flatus and hospital stay,lower Visual Analogue Scale(VAS)scores at different timepoints after surgery,and a decreased overall complication rate compared to the control group(P<0.05).Conclusion:The application of ERAS in robot-assisted laparoscopic pelvic floor reconstruction surgery has significant advantages,such as accelerating postoperative recovery,shortening length of hospital stay,and reducing complication rates,which is worthy of clinical promotion.
作者
雍圆圆
雍调调
Sana Mushtaq
李妍
吴丽仙
YONG Yuanyuan;YONG Tiaotiao;Sana Mushtaq;LI Yan;WU Lixian(Department of Gynecology,General Hospital of Ningxia Medical University,Ningxia 750004,China;Department of Emergency,General Hospital of Ningxia Medical University,Ningxia 750004,China;The First Clinical Medical College of Ningxia Medical University,Ningxia 750004,China;Department of Gynecology,Cardio-Cerebrovascular Disease Hospital,General Hospital of Ningxia Medical University,Ningxia 750011,China)
基金
宁夏回族自治区科技惠民专项项目(2023CMG03027)。
关键词
加速康复外科
机器人辅助手术
盆底重建手术
围手术期
Enhanced Recovery after Surgery
Robot-assisted Surgery
Pelvic Floor Reconstruction Surgery
Perioperative Period
