Ling Yu, Mingxia Ye, Xiaoyan Zhang, Yifan Fan, Peipei Liu, Yue Zhang, Yuanguang Meng, Lian Li
Department of Obstetrics and Gynecology, The Seventh Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Medical School of Chinese People's Liberation Army (PLA), Beijing, China.
Front Surg. 2021 Nov 18;8:740198. doi: 10.3389/fsurg.2021.740198. eCollection 2021.
The coronavirus disease 2019 (COVID-19) had become a health care event endangering humans globally. It takes up a large number of healthcare resources. We studied the impact of COVID-19 on patients with ovarian cancer by comprehensively analyzing their admissions before and after the epidemic, and made reasonable suggestions to improve their current situation. We randomly divided the enrolled patients into three groups, PreCOVID-19 Group (PCG) (2019.8.20-2020.1.20), COVID-19 Group (CG) (2020.1.21-2020.6.14), and Secondary Outbreak COVID-19 Group (SOCG) (2020.6.15-2020.10.10). One-way ANOVA and chi-square test were used for analysis. The number of patients from other provinces decreased significantly ( < 0.05). The total hospital stay during the epidemic was substantially more extended ( < 0.05). Before the epidemic, our department performed more open surgery while during the epidemic outbreak, we tended to choose laparoscopy ( < 0.01). We took a longer surgery time ( < 0.05). Patients had significantly less post-operative fever during the epidemic ( < 0.001). During the COVID-19 epidemic, no patient was infected with COVID-19, and no patient experienced severe post-operative complications. We recommend maintaining the admissions of patients with ovarian cancer during the epidemic following the rules: 1. The outpatients must complete a nucleic acid test and chest CT in the outpatient clinic; 2. Maintain full daily disinfection of the ward and insist that health care workers disinfect their hands after contact with patients; 3. Increase the use of minimally invasive procedures, including laparoscopy and robotics; 4. Disinfect the ward twice a day with UV light and sodium hypochlorite disinfectant; 5. Patients need to undergo at least three nucleic acid tests before entering the operating room.
2019年冠状病毒病(COVID-19)已成为一场危及全球人类的医疗保健事件。它占用了大量医疗资源。我们通过全面分析卵巢癌患者在疫情前后的入院情况,研究了COVID-19对卵巢癌患者的影响,并提出合理建议以改善他们的现状。我们将入选患者随机分为三组,COVID-19前组(PCG)(2019年8月20日至2020年1月20日)、COVID-19组(CG)(2020年1月21日至2020年6月14日)和二次爆发COVID-19组(SOCG)(2020年6月15日至2020年10月10日)。采用单因素方差分析和卡方检验进行分析。来自其他省份的患者数量显著减少(<0.05)。疫情期间的总住院时间大幅延长(<0.05)。疫情前,我们科室进行的开放手术较多,而在疫情爆发期间,我们倾向于选择腹腔镜手术(<0.01)。我们的手术时间更长(<0.05)。疫情期间患者术后发热明显减少(<0.001)。在COVID-19疫情期间,没有患者感染COVID-19,也没有患者出现严重的术后并发症。我们建议在疫情期间按照以下规则维持卵巢癌患者的入院:1.门诊患者必须在门诊完成核酸检测和胸部CT;2.保持病房每日全面消毒,并坚持医护人员在接触患者后进行手部消毒;3.增加微创手术的使用,包括腹腔镜手术和机器人手术;4.每天用紫外线灯和次氯酸钠消毒剂对病房进行两次消毒;5.患者在进入手术室前至少需要进行三次核酸检测。