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Received:May 29, 2020 Published Online:March 20, 2021
Received:May 29, 2020 Published Online:March 20, 2021
中文摘要: 目的 探究快速康复理念对行腹腔镜全子宫切除术治疗的老年子宫肌瘤患者的干预效果及对患者恢复的影响。方法 选取2018年4月至2020年4月于秦皇岛市妇幼保健院妇科接受治疗的老年子宫肌瘤患者60例,随机分为常规手术组(RT组)、快速康复治疗组(FTS组)各30例,RT组患者使用常规腹腔镜全子宫切除术,FIS组患者使用快速康复理念对腹腔镜全子宫切除术进行干预治疗。对两组患者的手术情况、术后恢复情况、术后疼痛情况、术后并发症发生率进行比较,并采用酶联免疫吸附法对醛固酮(ALD)、去甲肾上腺素(NE)、血管紧张素(AngⅡ)进行检验比较。结果 治疗后FIS组患者手术时间、手术出血量、术后住院时间均低于RT组(P<0.05)。治疗后FIS组患者术后首次排便、首次排尿、术后下床时间均低于RT组(P<0.05)。FIS组ALD、NE、AngⅡ水平低于RT组(P<0.05)。术后FIS组在5 h、10 h、15 h痛疼均低于RT组(P<0.05)。FIS组术后并发症总发生率低于RT组(P<0.05)。结论 使用快速康复理念对行腹腔镜全子宫切除术治疗的老年子宫肌瘤患者进行干预可以缩短患者的手术时间,减少手术时的出血量和术后的应激反应,加快患者的恢复时间,明显降低患者术后的疼痛和并发症的发生率。
Abstract:Objective To explore the intervention effect of rapid rehabilitation concept on the elderly patients with hysteromyoma undergoing laparoscopic hysterectomy and its influence on the recovery of the patients. Methods Sixty elderly patients with hysteromyoma receving laparoscopic hysterectomy from April 2018 to April 2020 were randomly divided into routine laparoscopic hysterectomy group (RT group,n=30) and routine laparoscopic hysterectomy with fast-track rehabilitation concept (FTS group,n=30).The operation situation,postoperative recovery,postoperative pain and the incidence of postoperative complications were compared between two groups.Using enzyme-linked immunosorbent assay,the levels of aldosterone (ALD),norepinephrine(NE) and angiotensin Ⅱ (Ang Ⅱ) were detected and compared. Results After treatment,the operation time,bleeding volume and hospitalization time in FTS group were significantly lower than those in RT group (P<0.05).Compared with those in RT group,the first urination and defecation time and time of getting out of bed shortened,the levels of ALD,NE and Ang Ⅱ decreased,the degree of postoperative pain at 5-,10- and 15 h after surgery and the total incidence of postoperative complications reduced significantly in FTS group(P<0.05). Conclusion In elderly patients with hysteromyoma,laparoscopic total hysterectomy with intervention of rapid rehabilitation can shorten the operation time,reduce the amount of bleeding and postoperative stress response,accelerate the recovery time and significantly reduce the incidence of postoperative pain and complications.
keywords: Fast rehabilitation concept Laparoscopic hysterectomy Elderly Hysteromyoma Stress response Aldosterone Norepinephrine Angiotensin
文章编号: 中图分类号: 文献标志码:B
基金项目:河北省医学科学研究课题计划项目(20191391)
Author Name | Affiliation |
SHAO Chang-hao,ZHU Jing,HUANG Li | Department of Gynaecology,Qinhuangdao Maternal and Child Health Hospital,Qinhuangdao,Hebei 066000,China |
Author Name | Affiliation |
SHAO Chang-hao,ZHU Jing,HUANG Li | Department of Gynaecology,Qinhuangdao Maternal and Child Health Hospital,Qinhuangdao,Hebei 066000,China |
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