Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery

Hongyun LIAO; Yali ZHOU; Hongyun GONG; Yiqun DUAN; Qiong LI; Siyu CHEN; Hong XU; Yixian YU

doi:10.12259/j.issn.2095-610X.S20220713

Volume 43 Issue 7

Jul. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(7): 128-133

Hongyun LIAO, Yali ZHOU, Hongyun GONG, Yiqun DUAN, Qiong LI, Siyu CHEN, Hong XU, Yixian YU. Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery[J]. Journal of Kunming Medical University, 2022, 43(7): 128-133. doi: 10.12259/j.issn.2095-610X.S20220713

Citation:

Hongyun LIAO, Yali ZHOU, Hongyun GONG, Yiqun DUAN, Qiong LI, Siyu CHEN, Hong XU, Yixian YU. Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery[J]. Journal of Kunming Medical University, 2022, 43(7): 128-133. doi: 10.12259/j.issn.2095-610X.S20220713

Citation:

Hongyun LIAO, Yali ZHOU, Hongyun GONG, Yiqun DUAN, Qiong LI, Siyu CHEN, Hong XU, Yixian YU. Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery[J]. Journal of Kunming Medical University, 2022, 43(7): 128-133. doi: 10.12259/j.issn.2095-610X.S20220713

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Effect of Enhanced Recovery after Surgery Strategy on Stress Factors and Postoperative Rehabilitation of Patients with Ovarian cystectomy under Single-Port Surgery

doi: 10.12259/j.issn.2095-610X.S20220713

Dept. of Gynaecology，The First People’s Hospital of Kunming， Kumming Yunnan 650034，China

Received Date: 2022-05-17
Available Online: 2022-06-25
Publish Date: 2022-07-14

Abstract

Abstract

Objective To explore the effect of enhanced recovery after surgery strategy on stress factors and postoperative rehabilitation of patients with ovarian cystectomy under single-port laparoscopy. Methods A total of 68 patients with ovarian cystectomy under single-port laparoscopy from September 1, 2020 to September 30, 2021 in the first people's hospital of Kunming were randomly selected. The control group was given perioperative traditional intervention, Observation group implements ERAS strategy. The levels of perioperative heat shock protein 70 and C-reactive protein, pain digital score, clinical observation indexes （operation time, blood loss, intraoperative infusion volume, ventilation time, indwelling catheter time and out of bed time） and postoperative complications were compared between the two groups. Results There was no significant difference at operation time, blood loss, intraoperative infusion volume. The clinical indexes of ERAS group were better than those of control group at ventilation time, indwelling catheter time and out of bed time. There were differences in NRS scores between the two groups at 4 h and 8 h after surgery（P < 0.05）, but there was no significant difference at 24 h after surgery（P > 0.05）. The stress factors （HSP70 and CRP） of the two groups at admission was no significant difference（P > 0.05）, but at the time of anesthesia induction and 24 hours after the operation, the stress factor value in the control group was higher than the observation group（P < 0.05）. There was no significant difference in the incidence of adverse reactions between the two groups. Conclusions ERAS strategy is safe and effective in patients with ovarian cystectomy under single-port laparoscopic surgery, and can reduce perioperative stress response. The advantages of single-port laparoscopy combined with the ERAS strategy can make patients feel more secure and satisfied with the operation.
- Enhanced recovery after surgery,
- Stress factors,
- Single-port laparoscopy,
- Ovarian cystectomy

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References(26)

References

[1]	Sun H D,Horng H C,Liu C H,et al. Comparison of single-port and three-port laparoscopic salpingectomy n the management for tubal pregnancy[J]. J Chin Med Assoc,2018,81(5):469-474.
[2]	刘秀,温蒙科,刘海元,等. 单孔腹腔镜与多孔腹腔镜卵巢囊肿剔除术的临床对照研究[J]. 中华妇产科杂志,2017,52(10):675-678.
[3]	Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation[J]. Br J Anaesth,1997,78(5):606-617. doi: 10.1093/bja/78.5.606
[4]	朱晔,崔雪,朱红艳. 快速康复外科理念在妇科腹腔镜手术患者围手术期护理中的应用[J]. 临床医药文献电子杂志,2018,5(67):108-109.
[5]	中华医学会妇产科学分会加速康复外科协作组. 妇科手术加速康复的中国专家共识[J]. 中华妇产科杂志,2019,54(2):73-79. doi: 10.3760/cma.j.issn.0529-567x.2019.02.001
[6]	中华医学会外科学分会,中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018 版)[J]. 中国实用外科杂志,2018,38(1):1-20.
[7]	Tae Joong K,Myeong S K,李银姬. 单孔腹腔镜与经阴道自然腔道内镜手术子宫切除术比较[J]. 中国实用妇科与产科杂志,2019,35(12):1308-1311.
[8]	龚瑶,唐均英. 以单孔腹腔镜为例谈妇科手术入路方式的选择[J]. 中国现代手术学杂志,2020,24(3):237-240.
[9]	陶凝,陈昌贤,李力. 快速康复外科理念在妇科肿瘤手术中的应用[J]. 中华妇产科杂志,2015,50(8):632-636. doi: 10.3760/cma.j.issn.0529-567x.2015.08.017
[10]	侯春兰. 康复外科理念联合心理护理在泌尿外科手术病人中的应用效果[J]. 全科护理,2017,15(22):2761-2762. doi: 10.3969/j.issn.1674-4748.2017.22.036
[11]	欧阳振波,尹倩,吴嘉雯,等. 国际ERAS协会妇科/妇科肿瘤围手术期指南2019年更新解读[J]. 现代妇产科进展,2020,29(3):226-229.
[12]	Gan T J,Scott M,Thacker J,et al. American Society for Enhanced Recovery:Advancing enhanced recovery and perioperative medicine[J]. Anesth Analg,2018,126(6):1870-1873.
[13]	Jahangirizadeh Z,Ghafouril H,Sajedl R H,et al. Molecular cloning,prokaryotic expression,purification,structural studies and functional implications of Heat Shock Protein 70 (Hsp70) from,Rutilus frisii kutum[J]. International Journal of Biological Macromolecules,2018,108(3):798-807.
[14]	Tissleres A,Mitchell H K,Tracy U M. Protein synthe- sis in salivary glands of Drosophila melanogaster:relation to chromosome puffs[J]. Journal of Molecular Biolog,1974,84(3):389-398. doi: 10.1016/0022-2836(74)90447-1
[15]	Liu W L,Chen Y,Lu G F,et al. Down-regulation of HSP70 sensitizes gastric epithelial cells to apoptosis and growth retardation triggered by H. pylori[J]. BMC Gastroenterol,2011,11:146.
[16]	樊欣,彭仁. 热休克蛋白70:生物学功能与作用机制研究进展[J]. 生命科学,2019,31(3):270-278.
[17]	Zininga T,Ramatsui L,Shonhai A. Heat shock proteins as immunomodulants[J]. Molecules,2018,23(11):2846.
[18]	游超君,邓招惠,白晶. 慢性阻塞性肺疾病患者血清热休克蛋白70水平与炎症细胞因子的相关性分析[J]. 广西医科大学学报,2019,36(5):755-758.
[19]	贾丛林. C-反应蛋白、白介素1和6与颅脑创伤患者预后的相关性分析[J]. 医学研究杂志,2007,36(11):55-58.
[20]	Smilowitz N R,Kunichoff D,Garshick M,et al. C-reactive protein and clinical outcomes in patients with COVID-19[J]. Eur Heart J,2021,42(23):2270-2279.
[21]	刘娟,王欣. 腹腔镜与开腹手术对子宫肌瘤患者炎症因子及免疫功能的影响[J]. 现代医药卫生,2017,33(11):1650-1652.
[22]	傅莉,周仕莲. 腹腔镜手术患者焦虑影响因素研究[J]. 检验医学与临床,2020,17(11):1571-1574.
[23]	孟馥芬,闫睿. 术前口服碳水化合物在腹腔镜下全子宫切除术后快速康复中的应用及观察[J]. 医学食疗与健康,2020,18(10):9-10.
[24]	刘静,李彦丽,张靖华,等. 快速康复外科可缓解妇科腹腔镜手术围手术期的镇痛和不良反应[J]. 基因组学与应用生物学,2019,38(4):1824-1828.
[25]	Meyer L A,Shi Q,Lasala J,et al. Comparison of patient reported symptom burden on an enhanced recovery after surgery(ERAS)care pathway in patients with ovarian cancer undergoing primary vs. interval tumor reductive surgery[J]. Gynecol Oncol,2019,152(3):501-508.
[26]	袁琳,洪安澜,杨丽,等. 术后快速康复在妇科手术围手术期中的应用[J]. 中华妇幼临床医学杂志(电子版),2017,13(6):740-744.

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