加速康复外科在腹腔镜前列腺癌根治术中的临床实践
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国家自然科学基金(81672532,81600514);江苏省“六大人才高峰”高层次人才项目(WSW?017);江苏高校“青蓝工程”资助(JX2161015100);南京医科大学第五批优秀中青年教师支持计划;江苏高校优势学科建设工程资助(JX10231802)


The clinical application of enhanced recovery after surgery in perioperative period of laparoscopic radical prostatectomy
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    摘要:

    目的:探讨加速康复外科(enhanced recovery after surgery,ERAS)在促进腹腔镜前列腺癌根治术后患者康复中的实践价值。方法:回顾性分析2015年12月—2017年9月在本院接受腹腔镜前列腺癌根治术的91例患者临床资料,随机分为ERAS组(46例)和对照组(45例),ERAS组按照ERAS方案进行围手术期处理,对照组接受传统的围手术期处理,对比两组患者术后肠鸣音恢复时间、首次排气时间、排便时间,拔除导尿管时间、拔除引流管时间、术后住院时间、住院费用、并发症发生率及出院后3个月尿失禁康复率等情况。结果:与对照组相比,ERAS组患者的肠鸣音恢复时间、首次排气时间、首次排便时间、拔除导尿管时间、拔除引流管时间、术后住院时间均显著缩短(P < 0.05),平均住院费用显著减少(P < 0.05),并发症发生率无明显差异(P > 0.05),出院后3个月尿失禁康复率明显提高(P < 0.05)。结论:围术期应用ERAS方案可加速腹腔镜前列腺癌根治术后患者康复,缩短住院时间,降低住院费用。

    Abstract:

    Objective:To study the effect of enhanced recovery after surgery(ERAS)concept in perioperative period of laparoscopic radical prostatectomy. Methods:Total 91 cases with prostatic cancer which underwent operations in our hospital from December 2015 to September 2017 were divided into two groups,control group and ERAS group. All patients of two groups accepted laparoscopic radical prostatectomy. The data of recovery of gastrointestinal function,catheter and drainage tube removal time,length of stay(LOS),hospitalization expenses,incidence of postoperative complications and recovery rate of urinary incontinence 3 months after discharge were compared between the two groups. Results:Compared with control group,cases in ERAS group were with shorter time of recovery of gastrointestinal function(P < 0.05),shorter LOS(P < 0.05),shorter catheter and drainage tube removal time,lower hospitalization expenses and higher recovery rate of urinary incontinence(P < 0.05). Conclusion:Methods of ERAS used in perioperative period of laparoscopic radical prostatectomy can apparently accelerate the time of postoperative recovery,shorten time stay in hospital and cut down the total cost,finally improve patients’ satisfaction.

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刘边疆,唐 敏,邵鹏飞,宋宁宏,吕 强,李 杰,顾 民,王增军.加速康复外科在腹腔镜前列腺癌根治术中的临床实践[J].南京医科大学学报(自然科学版),2018,(6):792-796

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  • 收稿日期:2017-10-19
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  • 在线发布日期: 2018-06-22
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