[1]赵鑫,连立芬,孙滨州,等.快速康复外科技术在腹腔镜全子宫切除术中的临床价值分析[J].中国计划生育和妇产科,2020,(5):93-96.
　ZHAO Xin,LIAN Lifen,SUN Binzhou,et al.Analysis of the clinical value of rapid rehabilitation surgical techniques in laparoscopic total hysterectomy[J].Chinese Journal of Family Planning & Gynecotokology,2020,(5):93-96.
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快速康复外科技术在腹腔镜全子宫切除术中的临床价值分析
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2020年5期
页码:
93-96
栏目:
论著与临床
出版日期:
2020-05-25

文章信息/Info

Title:
Analysis of the clinical value of rapid rehabilitation surgical techniques in laparoscopic total hysterectomy
作者:
赵鑫; 连立芬; 孙滨州; 杜马; 王岩岩*
秦皇岛市妇幼保健院普妇科
Author(s):
ZHAO Xin;  LIAN Lifen;  SUN Binzhou;  DU Ma;  WANG Yanyan*
Department of Gynaecology,Maternity and Child Care Center of Qinhuangdao, Qinhuangdao Hebei 066000,P.R.China
关键词:
快速康复外科; 腹腔镜全子宫切除术; 应激反应
Keywords:
rapid rehabilitation surgery; laparoscopic total hysterectomy;  stress response
分类号:
R 605
摘要:
目的分析快速康复外科技术在腹腔镜全子宫切除术中的临床价值。方法回顾性分析2018年6月至2019年6月于秦皇岛市妇幼保健院行腹腔镜全子宫切除术患者300例的临床资料，根据是否采用快速康复外科技术将其分为两组。对照组（146例）给予常规干预措施，快速康复组（154例）采取快速康复外科技术干预，分析两组患者手术一般情况、并发症情况及应激因子水平变化。结果快速康复组术后排气时间（1927±211）h、下地活动时间（1712±311）h、术后住院时间（566±207）d均短于对照组［（2312±285）h、（2598±363）h、（735±212）d］，差异有统计学意义（P<005）。两组术前C反应蛋白、D二聚体、5羟色胺水平比较，差异无统计学意义（P>005）。快速康复组治疗后C反应蛋白、D二聚体、5羟色胺水平低于对照组，差异有统计学意义（P<005）。快速康复组患者并发症率低于对照组（779 % vs 1849 %），差异有统计学意义（P<005）。结论快速康复外科技术应用于腹腔镜全子宫切除术可减轻应激反应，加快康复速度。　
Abstract:
ObjectiveTo analyze the clinical value of rapid rehabilitation surgery in laparoscopic total hysterectomy. Methods The clinical data of 300 patients undergoing laparoscopic total hysterectomy in Maternity and Child Care Center of Qinhuangdao from June 2018 to June 2019 were retrospectively analyzed, according to whether to use rapid rehabilitation surgery technique to divide them into two groups. The control group (146 cases) was given routine intervention measures, and the rapid rehabilitation group (154 cases) was given rapid rehabilitation surgical technical intervention to analyze the general operation situation, complications and stress factor level changes of the patients in the two groups. ResultsThe postoperative exhaust time (1927±211) h, subterranean activity time (1712±311) h, postoperative hospitalization time (566±207) d were significantly shorter than those in the control group ［(2312±285) h,(2598±363) h,(735±212) d］.The differences were statistically significant (P<005).There were no significant differences in preoperative C reactive protein, Ddimer and serotonin levels between the two groups (P>005). The levels of reactive protein, D dimer and 5hydroxytryptamin were lower than the control group after treatment in the rapid rehabilitation group (P<005). The complication rate of patients in the rapid rehabilitation group was lower than that in the control group (779 % vs 1849 %), and the difference was statistically significant (P<005).ConclusionThe application of rapid rehabilitation surgery in laparoscopic total hysterectomy can reduce stress reaction, speed up rehabilitation.

参考文献/References:

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备注/Memo

备注/Memo:
秦皇岛市科技局课题（项目编号：201805A062）
更新日期/Last Update: 2020-05-25