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.