Effects of different rates of compliance with enhanced recovery after surgery protocol on postoperative recovery in patients undergoing hysterectomy
10.3760/cma.j.cn131073.20201120.00304
- VernacularTitle:不同ERAS措施依从率对全子宫切除术患者术后康复的影响
- Author:
Yiwei SHEN
1
;
Su MIN
;
Feng LYU
;
Juying JIN
;
Gangming WU
Author Information
1. 重庆医科大学附属第一医院麻醉科 400042
- Keywords:
Hysterectomy;
Rehabilitation;
Enhanced recovery after surgery
- From:
Chinese Journal of Anesthesiology
2021;41(3):270-273
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of different rates of compliance with the enhanced recovery after surgery (ERAS) protocol on postoperative recovery in patients undergoing hysterectomy.Methods:A total of 312 patients, aged 18-60 yr, with body mass index of 18-30 kg/m 2, of American Society of Anesthesiologists physical status Ⅰ-Ⅲ, scheduled for hysterectomy, were enrolled in the study.ERAS protocol was implemented.The patients were divided into 3 groups based on compliance rates: compliance rate<70% group (group A), 70%≤compliance rate<85% group (group B) and compliance rate≥85% group (group C). The development of postoperative complications, hospitalization time, patients′ satisfaction score and hospitalization cost were recorded. Results:Compared with group A ( n=88) and group B ( n=118), the total incidence of complications was significantly decreased in group C ( n=96) ( P<0.05). The patients′ satisfaction scores were gradually increased in A, B, and C groups on the day of discharge and at 30 days after discharge ( P<0.05). Conclusions:Higher compliance with the ERAS protocol is helpful for postoperative recovery in patients undergoing hysterectomy.