1 南京医科大学附属无锡妇幼保健院妇科，江苏 无锡 214000
目的：探讨加速康复外科(enhanced recovery after surgery，ERAS)应用于盆底功能障碍性疾病围手术期的效果。方法：选择2019年3月至2020年3月南京医科大学附属无锡妇幼保健院收治的盆底功能障碍性疾病手术患者90例，按随机数字表法均分为两组。对照组行常规围手术期管理，观察组行ERAS理念的围手术期管理。对比两组手术指标及术后恢复情况、负性情绪、生活质量、并发症发生率。结果：观察组手术时间、术中出血量与对照组相比，差异无统计学意义(P>0.05)；观察组术后初次排气时间、初次排便时间、初次进食时间、初次下床活动时间、住院时间均短于对照组(P<0.05)；观察组术后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(P<0.05)；观察组术后盆底功能障碍问卷-20(PFDI-20)、盆底功能障碍简表-7(PFIQ-7)评分低于对照组，盆腔脏器脱垂/尿失禁性功能问卷-31(PISQ-31)评分高于对照组(P<0.05)；观察组术后总并发症发生率低于对照组(P<0.05)。结论：ERAS应用于盆底功能障碍性疾病围手术期可提升患者生活质量，减轻负性情绪，促进术后恢复，减少并发症，值得推广。
Clinical study on enhanced recovery after surgery in perioperative period of pelvic floor dysfunction
CorrespondingAuthor: YUAN Rong
This work was supported by the Scientific Research Project of Wuxi Maternal and Child Health Hospital, China (2019MZ01).
Objective: To explore the effect of enhanced recovery after surgery (ERAS) in the perioperative period of pelvic floor dysfunction. Methods: A total of 90 patients with pelvic floor dysfunction disease, who were admitted to our hospital from March 2019 to March 2020, were selected and divided into two groups (each with 45 cases) with the random number table method. The control group underwent a routine perioperative management, and the observation group underwent a perioperative management in ERAS. The surgical indicators and, postoperative recovery, negative emotions, quality of life, and incidence of complications were compared between the 2 groups. Results: Compared with the control group, the operation time and intraoperative blood loss of the observation group were not statistically significant (P>0.05); the time of the first postoperative exhaustion, the time of the first bowel movement, the time of the first meal, the time of the first out of bed, the hospitalization time was shorter than that of the control group (P<0.05); the postoperative SAS and SDS assessments of the observation group were lower than that those of the control group (P<0.05); the postoperative PFDI-20 and PFIQ-7 scores of the observation group were lower than that those of the control group, PISQ-31 score was higher than the control group (P<0.05); the total postoperative complication rate of the observation group was lower than the control group (P<0.05). Conclusion: The application of ERAS in the perioperative period of pelvic floor dysfunction diseases can improve the quality of life of patients, reduce negative emotions, promote postoperative recovery, and reduce complications.
enhanced recovery after surgery; pelvic floor dysfunction; postoperative recovery; negative emotions; quality of life; complications