Application Value Of Enhanced Recovery After Surgery In Perioperative Period Of Laparoscopic Hysterectomy

Background and ObjectiveThe Danish surgeon Kehlet has comprehensively optimized the perioperative management measures and proposed the concept of accelerating rehabilitation surgery for the first time.In recent years,the concept has been widely promoted in Europe and the United States and gradually adopted by domestic applications.Enhanced recovery after surgery(ERAS)uses evidence-based medical evidence as the theoretical cornerstone to reduce the physiological and psychological traumatic stress response to surgical patients.Through surgical,anesthesia,nursing,nutrition and other departments,the company has adopted a variety of Interventions optimize the perioperative clinical pathway,reduce perioperative traumatic stress response and postoperative complication rate,promote rapid recovery of patients,shorten hospitalization days,and reduce hospitalization costs.At present,the ERAS concept has been applied in thoracic surgery,general surgery,colorectal surgery,etc.There is no clear research in the field of gynecology to confirm that the application of accelerated rehabilitation surgery concept must be effective and safe for gynecological perioperative period.In this paper,a prospective study was conducted to compare the effects of accelerated rehabilitation surgery and traditional perioperative models in the perioperative period of patients undergoing laparoscopic hysterectomy,in order to explore the concept of accelerated rehabilitation surgery in the field of gynecology.Perioperative safety and clinical application value of laparoscopic hysterectomy.Materials and Methods1.Source of specimen:300 patients with laparoscopic hysterectomy due to benign diseases in the first affiliated hospital of Zhengzhou University from January2017 to June 2018,aged 45-60 years,the type of disease was Uterine fibroids,adenomyosis,abnormal uterine bleeding,etc.have been physically healthy.The patient districts were randomized into two groups according to the patient’s admission time random number:ERAS group and control group,150 in each group.2.Experimental methods:The ERAS group was treated with evidence-based medicine to accelerate the perioperative management of rehabilitation surgery.The control group used the traditional perioperative management principle to compare the operation time,intraoperative blood loss,and the first time after surgery.Anal exhaust time,postoperative inflammatory index,postoperative analgesia effect,postoperative complications,postoperative hospital stay,hospitalization costs,and patient satisfaction.3.Statistical methods:statistical analysis of the operation time,intraoperative blood loss,postoperative anal exhaust time,postoperative inflammation index,postoperative analgesia effect,hospitalization day,hospitalization cost,postoperative complication rate Data such as patient satisfaction,data analysis using SPSS17.0statistical software,t-test analysis of measurement data,chi-square test analysis and counting data,?=0.05 for the test level and P<0.05 used to determine whether the difference was statistically significant.Results1.The age of the ERAS group was(49.29±3.74)years old,the BMI was(23.01±2.61)kg/m~2,the control group was(49.43±3.56)years old,and the BMI was(22.85±2.54)kg/m~2.There was no statistically significant baseline data(P>0.05).2.The operation time of the ERAS group was(64.27±9.12)min,the intraoperative blood loss was(36.54±18.36)ml,and the control group was(65.85±7.99)min,(35.86±18.50)ml,respectively.There was no significant difference in the ratio(P>0.05).3.The first anus exhaust time was(12.45±2.07)hours after operation,the postoperative analgesia was(3.59±1.54),the hospitalization day was(4.22±0.88)days,and the hospitalization cost was(12877.38±978.49).The control group was(22.05±4.66)hours,(5.69±1.38)minutes,(5.94±0.94)days,and(15275.23±1261.28)yuan.Theaboveindicatorswerestatisticallysignificant(P<0.05),andthe postoperative inflammation indexes of the two groups were compared,the difference was not statistically significant(P>0.05).4.The incidence of postoperative complications in the ERAS group[6.67%(10/150)]was not statistically significant compared with the control group[8.67%(13/150)](P>0.05).ConclusionThis study demonstrates the perioperative period of laparoscopic hysterectomy,promotes the application of accelerated rehabilitation surgery concepts,shortens the number of hospital stays,reduces hospitalization costs,improves patient hospitalization,and does not increase postoperative complications.The incidence of symptoms is safe.