加速康复外科对腹腔镜肾部分切除术患者术后康复及生命质量的影响

2016年7月—2017年12月南京医科大学第一附属医院行腹腔镜肾部分切除术的肾癌患者,随机分成加速康复外科(enhanced recovery after surgery,ERAS)组与对照组?对比两组患者相关临床指标?住院天数?住院费用?术前与术后焦虑?抑郁程度?术后生命质量等指标?ERAS组患者术后恢复时间?住院费用?并发症发生率?术后焦虑程度低于对照组,患者满意度?术后躯体?角色?情绪功能及总健康状况高于对照组,差异有统计学意义?采用ERAS方案可有效改善腹腔镜肾部分切除患者的预后,提升患者的就医感受和术后生命质量,并具有一定经济优势?

Effects of enhanced recovery after surgery on postoperative recovery and quality of life in patients undergoing laparoscopic partial nephrectomy

Patients who underwent laparoscopic partial nephrectomy in the First Affiliated Hospital of Nanjing Medical University from July 2016 to December 2017 were randomly divided into the enhanced recovery after surgery (ERAS) and the control group. The clinical indicators, duration of hospitalization, hospitalization cost, preoperative and postoperative anxiety, depression, and postoperative quality of life were compared between the two groups. The recovery time, hospitalization cost, incidence of complications and postoperative anxiety of patients in the ERAS group was lower than that of the control group. The satisfaction during hospitalization, scores of physical function, role function, emotional function and general health status of the ERAS group was also significantly increased. Applying the ERAS to patients undergoing laparoscopic partial nephrectomy can improve their prognosis, experience of medical treatment and life quality after surgery as well as have certain economic advantages.