快速康复外科干预在机器人辅助腹腔镜根治性子宫切除术患者中的应用效果
Application effect of rapid rehabilitation surgical intervention in patients undergoing robot-assisted laparoscopic radical hysterectomy
严琳 1赵倩 2曹彬 3章静娴 1邱新光 4张增梅1
作者信息
- 1. 郑州大学第一附属医院手术部,郑州 450000
- 2. 郑州大学第一附属医院妇科,郑州 450000
- 3. 郑州大学第一附属医院麻醉与围术期医学部,郑州 450000
- 4. 郑州大学第一附属医院甲状腺外科,郑州 450000
- 折叠
摘要
目的 探讨快速康复外科干预在机器人辅助腹腔镜根治性子宫切除术(LRH)患者中的应用效果.方法 根据干预方法的不同将85例行机器人辅助LRH患者分为观察组(n=44,快速康复外科干预)和对照组(n=41,常规干预),比较两组患者的术后恢复情况、疼痛情况[视觉模拟评分法(VAS)]、不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]及并发症发生情况.结果 观察组患者首次排气时间、首次下床活动时间、首次排便时间、术后住院时间、引流管拔除时间均短于对照组,并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05).术后12 h、24 h、3天,观察组患者VAS评分均低于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者SAS、SDS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05).结论 快速康复外科干预在机器人辅助LRH患者中的应用效果显著,能促进患者术后快速康复,减轻术后疼痛,缓解患者的焦虑、抑郁情绪,并且能减少术后并发症.
Abstract
Objective To investigate the application effect of rapid rehabilitation surgical intervention in patients un-dergoing robot-assisted laparoscopic radical hysterectomy(LRH).Method A total of 85 patients underwent robot-assist-ed LRH were divided into observation group(n=44,rapid rehabilitation surgical intervention)and control group(n=41,conventional intervention)according to different intervention methods,and the postoperative recovery,pain condition[vi-sual analogue scale(VAS)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and in-cidence of complications of the two groups were compared.Result The first exhaust time,first getting out of bed time,first defecation time,postoperative hospitalization time and drainage tube removal time in observation group were shorter than those in control group,the total incidence of complications was lower than that in control group,and the differences were statistically significant(P<0.05).At 12 h,24 h and 3 days after surgery,the VAS scores in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After intervention,the scores of SAS and SDS in two groups were lower than those before intervention,the scores of SDS and SAS in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion The application of rapid rehabilitation surgical intervention in patients undergoing robot-assisted LRH has significant ef-fects,which can promote rapid postoperative recovery of patients,reduce postoperative pain,alleviate patients'anxiety and depression,and reduce the incidence of postoperative complications.
关键词
快速康复外科干预/机器人辅助/腹腔镜根治性子宫切除术Key words
rapid rehabilitation surgical intervention/robot-assisted/laparoscopic radical hysterectomy引用本文复制引用
基金项目
河南省科技发展计划(2024)(242102311038)
河南省高等学校重点科研项目(22A320048)
出版年
2024
NETL
NSTL
万方数据