Application of enhanced recovery after surgery in the perioperative period of patients with ovarian cysts

doi:10.3877/cma.j.issn.1674-6899.2024.01.009

Abstract

Abstract:

Objective

To explore the application of Enhanced Recovery After Surgery (ERAS) in patients undergoing gynecological ovarian cyst surgery and to analyze the factors that affect postoperative recovery time.

Methods

A total of 274 patients who underwent elective gynecological ovarian cyst surgery at the Fourth Ward of the General Gynecology Center of Peking Union Medical College Hospital from Jan. 2021 to May 2021 were included in the study. Their general data and ERAS completion status were collected and analyzed. After conducting a visual analogue scale (VAS) survey using the European fivedimensional Health scale (EQ-5D) instrument, multiple linear regression analysis was performed using SPSS 27.0 statistical software to explore the factors that affect postoperative recovery time.

Results

A total of 274 patients were included in the final statistical analysis. The completion rate of ERAS measures was 77% (65, 85%). Follow-up EQ-5D questionnaire VAS scores and 3 (0, 7) days to recover to a healthy state after surgery. In addition, multiple linear regression analysis revealed that age, VAS score on the second day after surgery, and prevention of postoperative nausea and vomiting had a statistically significant impact on postoperative recovery time (P<0.05).

Conclusions

The application of ERAS in gynecological surgery can accelerate postoperative recovery, shorten postoperative recovery time, and improve the quality of life of patients. Moreover, this study found that age, VAS score on the second day after surgery, and prevention of postoperative nausea and vomiting can shorten the postoperative recovery time, which lays the foundation for the implementation of a simplified version of ERAS in hospitals that cannot fully implement all ERAS management measures.

Key words: Enhanced recovery after surgery, Gynecological Surgery, Ovarian cyst

Xuemin Jia, Haiyuan Liu. Application of enhanced recovery after surgery in the perioperative period of patients with ovarian cysts[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2024, 17(01): 36-38.

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References 15

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各项指标	结果[M(P₂₅，P₇₅)，n(%)]
年龄(岁)	34(29，42)
BMI(kg/m²)	21(19，23)
内科疾病
有	44(16.1)
无	230(83.9)
外科疾病
有	24(8.8)
无	250(91.2)
腹部手术史
有	87(31.8)
无	187(68.2)
ERAS完成率(%)	77(65，85)

各项指标	结果[M(P₂₅，P₇₅)，n(%)]
年龄(岁)	34(29，42)
BMI(kg/m²)	21(19，23)
内科疾病
有	44(16.1)
无	230(83.9)
外科疾病
有	24(8.8)
无	250(91.2)
腹部手术史
有	87(31.8)
无	187(68.2)
ERAS完成率(%)	77(65，85)

变量	B	SE	β	t值	P值
BMI(kg/m²)	0.132	0.171	0.038	0.771	0.441
年龄(岁)	0.169	0.063	0.139	2.697	0.007
腹部手术史	0.280	1.472	0.009	0.190	0.849
术前HGB(g/L)	－0.004	0.055	－0.004	－0.081	0.935
术前VAS评分	0.021	0.056	0.019	0.366	0.715
术后第2天VAS评分	－0.647	0.062	－0.573	－10.38	<0.010
ERAS完成率	0.068	0.150	0.073	0.454	0.650
纠正术前贫血及营养不良	0.161	2.582	0.004	0.062	0.950
取消术前常规肠道准备	－1.420	2.122	－0.048	－0.669	0.504
PONV的预防	－5.666	1.533	－0.203	－3.697	<0.010
术中静脉麻醉及监测	2.221	1.674	0.082	1.327	0.186
术后多模式	0.358	3.195	0.011	0.112	0.911
术后适当应用缓泻剂	0.762	3.086	0.022	0.247	0.805
手术时长	－0.017	0.024	－0.039	－0.726	0.468
评估与宣教	－0.501	3.169	－0.012	－0.158	0.875

变量	B	SE	β	t值	P值
BMI(kg/m²)	0.132	0.171	0.038	0.771	0.441
年龄(岁)	0.169	0.063	0.139	2.697	0.007
腹部手术史	0.280	1.472	0.009	0.190	0.849
术前HGB(g/L)	－0.004	0.055	－0.004	－0.081	0.935
术前VAS评分	0.021	0.056	0.019	0.366	0.715
术后第2天VAS评分	－0.647	0.062	－0.573	－10.38	<0.010
ERAS完成率	0.068	0.150	0.073	0.454	0.650
纠正术前贫血及营养不良	0.161	2.582	0.004	0.062	0.950
取消术前常规肠道准备	－1.420	2.122	－0.048	－0.669	0.504
PONV的预防	－5.666	1.533	－0.203	－3.697	<0.010
术中静脉麻醉及监测	2.221	1.674	0.082	1.327	0.186
术后多模式	0.358	3.195	0.011	0.112	0.911
术后适当应用缓泻剂	0.762	3.086	0.022	0.247	0.805
手术时长	－0.017	0.024	－0.039	－0.726	0.468
评估与宣教	－0.501	3.169	－0.012	－0.158	0.875

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