Journal of International Obstetrics and Gynecology ›› 2017, Vol. 44 ›› Issue (6): 659-662.

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Application Research of Perianesthesia Enhanced Recovery after Surgery Program in Patients of Laparoscopic Total Hysterectomy

ZHANG Na,XIAO Shan-shan,WEN Na,SONG Xiu-mian   

  1.  Operation Room(ZHANG Na,XIAO Shan-shan,SONG Xiu-mian),Obstetrics and Gynecology Department(WEN Na),Medical Building of China PLA General Hospital,Beijing 100853,China
  • Received:2017-09-14 Revised:2017-11-27 Published:2017-12-15 Online:2017-12-15
  • Contact: SONG Xiu-mian,E-mail:songxiumian@163.com E-mail:ellen_zhang2017@126.com

Abstract: Objective:To investigate the effect of enhanced recovery after surgery (ERAS) program used in patients undergoing laparoscopic hysterectomy. Methods:A retrospective analysis of 87 cases of laparoscopic total hysterectomy in China PLA General Hospital from January 2016 to January 2017 was selected. All patients were divided into two groups according to the recovery management. The observation group (42 cases) received the enhanced recovery after surgery program during the anesthesia period, and the control group (45 cases) received routine recovery management. There was no significant difference between the two groups in age, body mass index (BMI), history of abdominal surgery, operation time, intraoperative blood loss and disease constitution (P>0.05). The indexes of postoperative recovery and the medical satisfaction between the two groups were observed and recorded. Results:The postoperative exhaust time, indwelling catheter time, mobilization time, average length of stay and average hospitalization expenses of the observation group were less than those of the control group, the difference was statistically significant (P<0.05). There were no significant differences in the incidence of complications between the two groups(P>0.05). The medical satisfaction of the observation group was higher than that of the control group, the difference was statistically significant (90.5% vs. 73.3%, χ2=4.254, P=0.039). Conclusions:For patients undergoing laparoscopic hysterectomy, enhanced recovery program can accelerate postoperative recovery and improve medical satisfaction.
【Keywords】  Perioperative nursing;Laparoscopes;Gynecologic surgical procedures;Hysterectomy;Enhanced recovery after surgery;Recovery management

Key words:  Perioperative nursing, Laparoscopes, Gynecologic surgical procedures, Hysterectomy, Enhanced recovery after surgery, Recovery management