Clinical application of fast track surgery in patients with vaginal hysterectomy for non -prolapsed uterus
10.3760/cma.j.issn.1008-6706.2015.24.004
- VernacularTitle:加速康复外科在非脱垂子宫经阴道全切除术中的临床应用
- Author:
Rujian ZHANG
;
Yuhua ZHENG
;
Junming LIN
;
Xiaobin HUANG
;
Shuting YE
- Publication Type:Journal Article
- Keywords:
Hysterectomy,vaginal;
Rehabilitation;
Postoperative complications
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(24):3691-3694
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of fast track surgery (FTS)in patients with vaginal hysterectomy for non -prolapsed uterus.Methods 1 1 0 cases of vaginal hysterectomy for non -prolapsed ute-rus with benign uterine disease were randomly divided into two groups:fast track group (n =55)and conventional group (n =55).The operative time,intraoperative blood loss,postoperative nausea and vomiting,anal exhaust time, postoperative hospital stay,medical cost and perioperative complications were compared between the two groups. Results In FTS group,the incidence rate of postoperative nausea and vomiting,the postoperative anal exhaust time, hospital stay,cost of hospitalization were 1 6.4%,(1 3.73 ±2.41 )h and (4.38 ±1 .08 )d,(7 541 .00 ± 253.1 7)yuan,respectively,which in the control group were 36.4%,(1 8.56 ±1 .54 )h,(4.89 ±1 .26 )d, (8 1 55.1 5 ±495.89)yuan,the differences were statistically significant between the two groups (χ2 =5.67,t =-1 2.53,-2.28,-8.1 7,all P <0.05).There was no significant difference in the operative complications between the two groups (P >0.05).Conclusion FTS has good security.It can short the hospitalization time,reduce medical costs and improve the quality of life in patients who underwent vaginal hysterectomy for non -prolapsed uterus with benign uterine disease.
