摘要
目的探讨加速康复外科(ERAS)干预在晚期卵巢癌超根治术围术期患者中的应用效果。方法前瞻性选取2024年6月至2025年2月在浙江省肿瘤医院行超根治术的82例晚期卵巢癌患者,按随机数字表法分为对照组和观察组,每组41例。对照组予常规围术期护理,观察组予EARS干预护理。比较两组患者术后肠功能恢复情况、首次下床时间、多维度疲乏症状量表简表(MFSISF)评分、数字等级评定量表(NRS)疼痛评分、术后并发症发生率及术后住院天数。结果观察组患者肠鸣音恢复时间、首次排气时间、首次排便时间、首次下床时间均短于对照组,MFSI-SF评分低于对照组,术后12 h、24 h、术后第3天及出院当天的NRS疼痛评分均低于对照组,术后感染发生率低于对照组,差异均有统计学意义(均P<0.05);术后住院天数两组间比较差异无统计学意义(P>0.05)。结论EARS干预有利于加快晚期卵巢癌超根治术患者的康复速度、减少感染的发生率,缓解疲乏和减轻疼痛症状,值得临床推广应用。
Objective To explore the application effect of enhanced recovery after surgery(ERAS)intervention in perioperative patients with advanced ovarian cancer undergoing ultra-radical surgery.Methods A prospective study was conducted on 82 patients with advanced ovarian cancer who underwent ultra-radical surgery at Zhejiang Cancer Hospital from June 2024 to February 2025.The patients were randomly divided into a control group and an observation group using a random number table method,with 41 patients in each group.The control group was given routine perioperative nursing,while the observation group was given EARS intervention.The two groups of patients were compared in postoperative recovery of intestinal function,the first time of getting out of bed,the score of Multidimensional Fatigue Symptom Inventory-Short Form(MFSI-SF),the pain score of Numerical Rating Scale(NRS),the incidence of postoperative complications and the length of hospital stay.Results The observation group showed significantly shorter recovery time for bowel sounds,time to first flatus and defecation,and time to first ambulation compared to the control group.Their MFSI-SF scores were lower,and NRS pain scores at 12 hours,24 hours,postoperative day 3,and discharge day were also lower;Postoperative infection rate in the observation group was also significantly lower(all P<0.05),while no statistically significant difference was observed in postoperative hospitalization duration(P>0.05).Conclusion EARS intervention is conducive to accelerating the rehabilitation speed of patients with advanced ovarian cancer undergoing ultra-radical surgery,reducing the incidence of infection,and relieving fatigue and pain symptoms,which is worthy of clinical application.
作者
王薇
王春兰
夏雪梅
陈欣怡
WANG Wei;WANG Chunlan;XIA Xuemei;CHEN Xinyi(Department of Gynecologic Oncology Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,China;不详)
出处
《浙江医学》
2025年第24期2650-2653,共4页
Zhejiang Medical Journal
基金
浙江省医药卫生科技计划项目(2023KY616)。
关键词
加速康复外科干预
卵巢癌
围术期
护理
Enhanced recovery after surgery intervention
Ovarian cancer
Perioperative period
Nursing
