To study the clinical pathway of enhanced recovery after surgery in patients undergoing laparoscopic hysterectomy
10.3760/cma.j.issn.1008-1372.2018.06.013
- VernacularTitle:加速康复外科临床路径应用于腹腔镜全子宫切除术患者的相关研究
- Author:
Xiangmei HE
1
;
Na WEN
;
Nan WANG
;
Ronghua MA
;
Ping MA
Author Information
1. 青海交通医院妇产科
- Keywords:
Hysterectomy;
Laparoscopy;
Rehabilitation;
Critical pathways
- From:
Journal of Chinese Physician
2018;20(6):851-854
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of clinical pathway of enhanced recovery after surgery in patients undergoing laparoscopic hysterectomy.Methods All patients with uterine fibroids,uterine adenomyosis,cervical lesions and endometrial lesions were selected in Qinghai Provincial Traffic Hospital during the period of January 2015 to December 2016.Among them,108 cases undergoing laparoscopic hysterectomy were analyzed and enrolled in the study.They were randomly divided into two groups.The observation group was treated with clinical pathway of enhanced recovery,while the control group received routine clinical pathway.The general situation,clinical pathway related indicators were recorded and compared between the two groups.Results The average age,BMI,abdominal surgery history and disease composition of the two groups were not statistically significant (P ＞ 0.05).The exhaust time [(19.5± 5.6)h vs (24.2 ± 7.5) h],activity time [(17.2 ± 7.5) h vs (26.4 ± 5.3) h],indwelling catheter time [(18.1 ± 3.9) h vs (30.5 ± 4.7) h],average hospitalization days [(5.2 ± 1.1) days vs (6.3 ± 1.7) days] and hospitalization expenses [(13 688.2 ± 709.6)yuan vs (15 793.4 ± 1 021.3)yuan] of the observation group were less than those of the control group,with statistically significance difference (P ＜ 0.05).Conclusions Clinical pathway of enhanced recovery after surgery can speed up the rehabilitation of laparoscopic hysterectomy,improve the patient's medical experience and shorten the average length of stay.
