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by qwen3.7-flash, 2026-08-28
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Among patients with uterine fibroids, adenomyosis, and other lesions undergoing laparoscopic hysterectomy, an enhanced recovery clinical pathway significantly reduced hospitalization duration, costs, and time to recovery compared to routine care.
Abstract
Objective
To investigate the effect of clinical pathway of enhanced recovery after surgery in patients undergoing laparoscopic hysterectomy.
Methods
All patients with uterine fibroids, uterine adenomyosis, cervical lesions and endometrial lesions were selected in Qinghai Provincial Traffic Hospital during the period of January 2015 to December 2016. Among them, 108 cases undergoing laparoscopic hysterectomy were analyzed and enrolled in the study. They were randomly divided into two groups. The observation group was treated with clinical pathway of enhanced recovery, while the control group received routine clinical pathway. The general situation, clinical pathway related indicators were recorded and compared between the two groups.
Results
The average age, BMI, abdominal surgery history and disease composition of the two groups were not statistically significant (P>0.05). The exhaust time [(19.5±5.6)h vs (24.2±7.5)h], activity time [(17.2±7.5)h vs (26.4±5.3)h], indwelling catheter time [(18.1±3.9)h vs (30.5±4.7)h], average hospitalization days [(5.2±1.1)days vs (6.3±1.7)days] and hospitalization expenses [(13 688.2±709.6)yuan vs (15 793.4±1 021.3)yuan] of the observation group were less than those of the control group, with statistically significance difference (P<0.05).
Conclusions
Clinical pathway of enhanced recovery after surgery can speed up the rehabilitation of laparoscopic hysterectomy, improve the patient′s medical experience and shorten the average length of stay.
Key words:
Hysterectomy; Laparoscopy; Rehabilitation; Critical pathways
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加速康复外科临床路径应用于腹腔镜全子宫切除术患者的相关研究
To study the clinical pathway of enhanced recovery after surgery in patients undergoing laparoscopic hysterectomy
摘要目的 分析加速康复外科临床路径在腹腔镜全子宫切除术患者诊治中的应用效果,探讨其实践经验.方法 选取青海交通医院妇产科2015年1月至2016年12月期间收治的子宫肌瘤、子宫腺肌症、宫颈病变以及子宫内膜病变患者,筛选出拟行腹腔镜全子宫切除术者108例,按随机数字表法分为两组,观察组采用加速康复外科临床路径诊治,对照组采用常规临床路径诊治;记录并比较两组病例一般资料和实施临床路径相关指标.结果 观察组与对照组各纳入54例,两组年龄、BMI、腹部手术史以及疾病构成情况比较差异无统计学意义(P＞0.05);观察组术后排气时间[(19.5±5.6)h vs (24.2±7.5)h]、下地活动时间[(17.2±7.5)h vs (26.4±5.3)h]、留置尿管时间[(18.1±3.9)h vs(30.5±4.7)h]、住院时间[(5.2±1.1)d vs(6.3±1.7)d]和住院费用[(13 688.2±709.6)元vs(15 793.4±1 021.3)元]均少于对照组,差异有统计学意义(P＜0.05);两组手术时间[(66.9±27.3) min vs (72.0±34.4) min]、手术出血量[(88.4±39.7)ml vs (101.8±42.2)ml]以及并发症发生率(13.0％ vs9.3％)比较差异无统计学意义(P＞0.05).结论 将加速康复外科临床路径引入至腹腔镜全子宫切除术患者围术期管理中,能够加快患者术后康复进程、减少住院时间和住院费用,具有重要意义.
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abstractsObjective To investigate the effect of clinical pathway of enhanced recovery after surgery in patients undergoing laparoscopic hysterectomy.Methods All patients with uterine fibroids,uterine adenomyosis,cervical lesions and endometrial lesions were selected in Qinghai Provincial Traffic Hospital during the period of January 2015 to December 2016.Among them,108 cases undergoing laparoscopic hysterectomy were analyzed and enrolled in the study.They were randomly divided into two groups.The observation group was treated with clinical pathway of enhanced recovery,while the control group received routine clinical pathway.The general situation,clinical pathway related indicators were recorded and compared between the two groups.Results The average age,BMI,abdominal surgery history and disease composition of the two groups were not statistically significant (P ＞ 0.05).The exhaust time [(19.5± 5.6)h vs (24.2 ± 7.5) h],activity time [(17.2 ± 7.5) h vs (26.4 ± 5.3) h],indwelling catheter time [(18.1 ± 3.9) h vs (30.5 ± 4.7) h],average hospitalization days [(5.2 ± 1.1) days vs (6.3 ± 1.7) days] and hospitalization expenses [(13 688.2 ± 709.6)yuan vs (15 793.4 ± 1 021.3)yuan] of the observation group were less than those of the control group,with statistically significance difference (P ＜ 0.05).Conclusions Clinical pathway of enhanced recovery after surgery can speed up the rehabilitation of laparoscopic hysterectomy,improve the patient's medical experience and shorten the average length of stay.
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