Study on the application of enhanced recovery after surgery in patients with endometriosis and adenomyosis
10.3760/cma.j.cn101441-20191014-00460
- VernacularTitle:加速康复外科在子宫内膜异位性疾病患者中的应用研究
- Author:
Huiling ZHANG
1
;
Xiaoying WANG
1
;
Yan LI
1
;
Kuiran LIU
1
;
Ling OUYANG
1
Author Information
1. 中国医科大学附属盛京医院，沈阳110004
- Publication Type:Journal Article
- Keywords:
Enhanced recovery after surgery;
Endometriosis and adenomyosis;
Pain;
Intestinal function
- From:
Chinese Journal of Reproduction and Contraception
2020;40(7):566-572
- CountryChina
- Language:Chinese
-
Abstract:
Objection To study the safety and effect of enhanced recovery after surgery (ERAS) in patients with endometriosis and adenomyosis. Methods:Totally 483 patients with endometriosis and adenomyosis who were admitted to Shengjing Hospital of China Medical University from August 1, 2017 to August 31, 2018 were included. Totally 183 patients underwent ERAS (ERAS group) and 255 patients underwent conventional pathway (control group) were enrolled. Perioperative intestinal function, pain score, inflammatory index, postoperative complications and length of hospital stay were analyzed.Results:Compared with control group, the time of postoperative exhaust in ERAS group was earlier [(37.57±12.10) h vs. (47.28±17.36) h, P<0.001]. Postoperative pain score was decreased [8：00 am at postoperative day 1 (2.86±0.89 vs. 2.96±0.92); 8：00 am at postoperative day 2 (1.99±0.73 vs. 2.41±0.82), all P<0.001]. The increase of D-dimer in blood after surgery was lower [1.67(0.68,3.04) vs. 3.17(1.55,5.72), P<0.001]. Postoperative hospital stay was shorter [(5.20±1.07) d vs.(5.52±1.46) d, P=0.009]. Conclusion:The application of ERAS path in patients with endometriosis and adenomyosis can shorten the postoperative exhaust time, reduce the postoperative pain, improve the postoperative hypercoagulability of blood and reduce the length of hospital stay. ERAS is safe, feasible and effective in patients with endometriosis and adenomyosis.
