ERAS在盆底功能障碍性疾病围手术期中的应用分析
Application of ERAS in Perioperative Period of Gynecological Laparoscopy

目的：本研究旨在评估加速康复外科(Enhanced recovery after surgery, ERAS)技术如何改善盆底功能障碍性疾病人群术后恢复情况。方法：从2020年1月到2023年12月，共有400例腹腔镜手术病例，并将其随机划分成ERAS组与传统手术，以获取术后恢复结果。研究人员还会根据术前、术后、术后等因素，评估ERAS技术的有效性，以便更好地评估ERAS技术带来的恢复效果。结果：经数据分析，我们可以看到术后2 h、6 h、24 h VAS分数、术后肠道排气时间、住院时间、住院费用、PONV和腹胀的发病情况存在显著的变化，这些变化具有显著的统计学意义(P < 0.05)。此外，我们还可以从患者的年龄性别、身体质量指数、ASA等级、发热、腹泻、肺部感染和切口感染等术后并发症的角度来观察这些变化，从而更好地了解术后的治疗效果。经过研究，两组之间的差异没有显著性(P > 0.05)。结论：ERAS技术的应用对于治疗盆底功能障碍性疾病的患者来说，具有显著的优势。它既可以显著降低PONV和腹胀的风险，又可以大幅缩短患者的出院周期，从而节省治疗成本，提高治疗质量。此外，它也为患者带来了更加舒适的治疗环境，因此，ERAS技术的应用具有很高的安全性和实际意义。
Objective: The purpose of this study was to evaluate how Enhanced recovery after surgery (ERAS) technology improves postoperative recovery in people with pelvic floor dysfunction. Methods: From January 2020 to December 2023, a total of 400 laparoscopic surgery cases were randomized into ERAS groups versus conventional surgery to obtain postoperative recovery outcomes. Researchers will also evaluate the effectiveness of ERAS technology based on pre-, post-operative, post-operative and other factors to better assess the recovery effects of ERAS technology. Results: After data analysis, we could see that there were significant changes in VAS scores at 2 h, 6 h and 24 h after surgery, postoperative intestinal exhaust time, hospital stay, hospital cost, PONV and the incidence of abdominal distension, and these changes were statistically significant (P < 0.05). In addition, we can also observe these changes from the perspective of the patient’s age and sex, body mass index, ASA grade, fever, diarrhea, lung infection and incision infection and other postoperative complications, so as to better understand the postoperative treatment effect. There was no significant difference between the two groups (P > 0.05). Conclusion: ERAS technology has significant advantages in the treatment of patients with pelvic floor dysfunction. It can not only significantly reduce the risk of PONV and abdominal distension, but also significantly shorten the discharge cycle of patients, thereby saving treatment costs and improving treatment quality. In addition, it also brings a more comfortable treatment environment for patients, so the application of ERAS technology has high safety and practical significance.