Clinical effect of enhanced recovery after surgery management in patients with vaginal hysterectomy / 中国基层医药

ABSTRACT

Objective@#To analyze the effect of enhanced recovery after surgery program(ERAS) in perioperative management of vaginal hysterectomy.@*Methods@#The clinical data of 73 patients who underwent transvaginal hysterectomy for uterine fibroids, adenomyosis, middle pelvic defects, cervical lesions and endometrial lesions were retrospectively analyzed.All patients were divided into two groups according to the perioperative management method.The observation group (35 cases) received the enhanced recovery program, while the control group (38 cases) received the routine perioperative management.The general data and perioperative management indicators of the two groups were recorded and compared.@*Results@#There were no statistically significant differences between the two groups in mean age, body mass index, abdominal surgery history and diagnosis constitution(all P>0.05). The first feeding time[(7.6±1.3)h vs.(12.6±3.2)h], postoperative exhaust time[(15.5±4.6)h vs.(20.2±6.5)h], indwelling catheter time[(20.1±4.9)h vs.(28.4±6.8)h], mobilization time[(19.2±3.5)h vs.(24.2±7.9)h], the length of hospital stay[(4.5±0.7)d vs.(5.8±1.2)d]and hospitalization expense[(6 545.2±430.7)CNY vs.(7 953.8±653.3)CNY]of the observation group were less than those of the control group, the differences were statistically significant(t=8.069, 3.538, 5.938, 3.582, 5.590, 10.777, all P<0.05). There were no statistically significant differences between the two groups in the operation time[(45.3±20.8)min vs.(39.9±17.4)min]and the amount of bleeding[(69.4±32.2)mL vs.(57.0±24.5)mL](t=0.231, 0.067, all P>0.05).@*Conclusion@#The ERAS program perioperative management can speed up the postoperative recovery process, reduce the length of hospital stay and the financial burden of patients who underwent transvaginal hysterectomy.