快速康复外科技术配合腹腔镜手术对异位妊娠患者疗效及恢复效率的影响

赵晓玲

[摘要] 目的 探討快速康复外科技术配合腹腔镜手术对异位妊娠患者疗效及恢复效率的影响。 方法 选取我院2014年3月～2016年4月异位妊娠行腹腔镜手术治疗的患者120例作为研究对象，根据围术期实施方案的不同，分为快速康复组（n=60）和对照组（n=60），快速康复组应用快速康复外科理念模式实施干预，对照组实施传统护理模式，比较两组患者的治疗恢复效率，包括下床行走时间、住院时间、肛门排气时间及肠鸣音恢复时间，以及进行两组患者间术后的并发症发生情况比较。结果 快速康复组的下床行走时间、住院时间、肛门排气时间及肠鸣音恢复时间均明显短于对照组，差异有统计学意义（P<0.05）；快速康复组的术后并发症总发生率10.00%（6/60）低于对照组术后并发症发生率23.33%（14/60）（P<0.05）。结论 快速康复外科技术配合腹腔镜手术能有效降低手术应激反应，减少术后并发症，促进患者快速恢复。

[关键词] 快速康复；腹腔镜手术；异位妊娠；恢复效率

[中图分类号] R473.73 [文献标识码] A [文章编号] 2095-0616（2017）12-71-03

Effect of rapid rehabilitation surgical techniques combined with laparoscopic surgery on curative effect and recovering efficiency of patients with ectopic pregnancy

ZHAO Xiaoling

Department of Gynecology and Obstetrics，the First Maternal and Child Health Hospital of Huizhou，Huizhou 516000，China

[Abstract] Objective To explore the effect of rapid rehabilitation surgical techniques combined with laparoscopic surgery on curative effect and recovering efficiency of patients with ectopic pregnancy. Methods 120 patients with ectopic pregnancy undergoing laparoscopic surgery in our hospital from March 2014 to April 2016 were selected as research objects. According to implementing schemes during perioperative period，they were divided into the rapid rehabilitation group and the control group，with 60 in each group.The rapid rehabilitation group was given intervention according to rapid rehabilitation surgical concept model while the control group was given traditional nursing mode.Recovering efficiency of treatment including Recovering efficiency，including ambulation time，hospitalization stay，anal exhaust time and the recovery time of intestinal sound of patients in two groups were compared.In addition，the incidence of postoperative complications between two groups was compared. Results Ambulation time，hospitalization stay，anal exhaust time and the recovery time of intestinal sound of the rapid rehabilitation group were all significantly shorter than those of the control group.Differences were statistically significant（P<0.05）.Total incidence of postoperative complications in the rapid rehabilitation group was 10.00%（6/60），lower than that of the control group 23.33% （14/60）（P<0.05）. Conclusion Rapid rehabilitation surgical techniques combined with laparoscopic surgery can effectively reduce operative stress response and postoperative complications and promote rapid recovery of patients.

[Key words] Rapid rehabilitation； Laparoscopic surgery； Ectopic pregnancy； Recovering efficiency

快速康复外科（FTS）是指患者对围手术期病理生理了解的情况下，利用循证医学的原理，整合术前、中、后各种已被认可未安全有效的措施减少手术可能带来的应激反应，是以促进患者术后的康复、缩短住院时间、减轻其术后不良反应为目的的一种外科处理理念[1-2]。目前在多各外科领域中快速康复外科已被逐渐广泛应用，但有关在异位妊娠腹腔镜治疗中的应用报道较少，本研究通过将快速康复外科技术应用于异位妊娠行腹腔镜手术治疗患者，以探讨其对患者的康复的影响，研究取得满意效果，现报道如下。

1 资料与方法

1.1 一般资料

选取我院2014年3月～2016年4月异位妊

娠行腹腔镜手术治疗的患者120例作为研究对象，根据围术期实施方案的不同，分为快速康复组（n=60）和对照组（n=60），纳入标准：所有患者尿HCG检测均为阳性且均有不同程度阴道流血；……