术后加速康复对接受腹腔镜部分肾切除术患者术后恢复及生活质量的影响
Effect of Enhanced Recovery After Surgery on Postoperative Recovery and Quality of Life in Patients Undergoing Laparoscopic Partial Nephrectomy.
作者信息
Miao Chenkui, Yu Aimei, Yuan Han, Gu Min, Wang Zengjun
机构信息
Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Division of Urology, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
出版信息
Front Oncol. 2020 Oct 14;10:513874. doi: 10.3389/fonc.2020.513874. eCollection 2020.
Abstract
Patients who underwent laparoscopic partial nephrectomy from the First Affiliated Hospital of Nanjing Medical University from May 2016 to May 2019 were randomly divided into enhanced recovery after surgery (ERAS) and control groups. The clinical indicators, 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 were lower than those of the control group. The satisfaction during hospitalization, scores of physical function, role function, emotional function, and general health status of the ERAS group were 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.
摘要
2016年5月至2019年5月在南京医科大学第一附属医院接受腹腔镜部分肾切除术的患者被随机分为术后加速康复（ERAS）组和对照组。比较两组的临床指标、术前和术后的焦虑、抑郁情况以及术后生活质量。ERAS组患者的恢复时间、住院费用、并发症发生率和术后焦虑程度均低于对照组。ERAS组患者住院期间的满意度、身体功能、角色功能、情感功能和总体健康状况评分也显著提高。对接受腹腔镜部分肾切除术的患者应用ERAS可改善其预后、就医体验和术后生活质量，同时具有一定的经济优势。
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