Application of enhanced recovery after surgery strategy in secondary cesarean delivery

KONG De-hua; ZHU Peng; KONG Xian-gang

doi:10.11659/jjssx.06E024094

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Application of enhanced recovery after surgery strategy in secondary cesarean delivery

Clinical Research | 更新时间：2025-06-17

- Application of enhanced recovery after surgery strategy in secondary cesarean delivery
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 6, Pages: 544-547(2025)
- 作者机构：
  
  1.济宁市第一人民医院产科，山东济宁 272011
  2.济宁市第一人民医院麻醉科，山东济宁 272011
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.06E024094
  CLC： R719.8
- Received：24 June 2024，
  
  Published：25 June 2025
- 稿件说明：
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孔德华,朱朋,孔宪刚.加速康复外科策略在二次剖宫产手术中的应用[J].局解手术学杂志,2025,34(06):544-547.

KONG De-hua,ZHU Peng,KONG Xian-gang.Application of enhanced recovery after surgery strategy in secondary cesarean delivery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(06):544-547.
孔德华,朱朋,孔宪刚.加速康复外科策略在二次剖宫产手术中的应用[J].局解手术学杂志,2025,34(06):544-547. DOI： 10.11659/jjssx.06E024094.

KONG De-hua,ZHU Peng,KONG Xian-gang.Application of enhanced recovery after surgery strategy in secondary cesarean delivery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(06):544-547. DOI： 10.11659/jjssx.06E024094.

摘要

目的

探讨加速康复外科（ERAS）策略在二次剖宫产手术中的应用效果。

方法

选取我院行二次剖宫产的产妇90例，按照随机数字表法将其分为观察组和对照组，各45例。观察组产妇采用ERAS管理措施，对照组产妇采用传统管理措施。比较2组产妇术后恢复指标、临床结局指标及焦虑自评量表（SAS）、抑郁自评量表（SDS）、Kolcaba舒适状况量表（GCQ）评分。

结果

观察组产妇术后24 h 11项产科恢复质量评分高于对照组（

0.05），术后肠鸣音恢复时间、首次排便时间短于对照组（

0.05），术后72 h子宫底高度小于对照组（

0.05），静息及咳嗽时中重度疼痛发生率低于对照组（

0.05）。2组新生儿转新生儿监护病房及黄疸发生率比较，差异均无统计学意义（

0.05）；但观察组产妇术中低血压、恶心呕吐、寒战及术后腹胀、恶心呕吐发生率低于对照组（

0.05），术后24 h阴道出血量少于对照组（

0.05）。2组产妇干预后SAS、SDS、GCQ评分均低于干预前（

0.05），且观察组产妇SAS、SDS评分均低于对照组（

0.05），GCQ评分高于对照组（

0.05）。

结论

ERAS策略用于二次剖宫产手术可有效改善产妇临床结局及心理状态，提高舒适度，促进术后康复。

Abstract

Objective

To explore the application effect of enhanced recovery after surgery （ERAS） strategy in secondary cesarean delivery.

Methods

A total of 90 puerperae who underwent elective secondary cesarean delivery in our hospital were enrolled and randomly divided into the observation group and the control group，with 45 cases in each group. Puerperae in the observation group adopted ERAS management，and puerperae in the control group adopted routine management. The postoperative recovery indicators，clinical outcome indicators，scores of self-rating anxiety scale （SAS），self-rating depression scale （SDS），and Kolcaba general comfort questionnaire （GCQ） of puerperae between the two groups were compared.

Results

The obstetric quality of recovery-11 （ObsQoR-11） score 24 hours after surgery of puerperae in the observation group was higher than that in the control group（

0.05），the recovery time of postoperative bowel sounds and first defecating time were shorter than those in the control group（

0.05），the height of uterine fundus 72 hours after surgery was lower than that in the control group（

0.05），the incidences of moderate to severe pain at rest and during cough were lower than those in the control group （

0.05）. There was no statistically significant difference in the incidence of neonatal transfer to the intensive care unit or the incidence of jaundice between the two groups （

0.05）；while the incidences of intraoperative hypotension，nausea and vomiting，chills，and postoperative abdominal distension，nausea and vomiting of puerperae in the observation group were lower than those in the control group（

0.05），postoperative vaginal bleeding volume within 24 hours was less than that in the control group （

0.05）. After intervention，the SAS，SDS and GCQ scores of puerperae in both groups were lower than those before intervention（

0.05），and the SAS and SDS scores of puerperae in the observation group were lower than those in the control group（

0.05），the GCQ score was higher than that in the control group （

0.05）.

Conclusion

ERAS strategy used for secondary cesarean delivery can improve clinical outcomes and psychological state of puerperae，increase comfort level，and promote postoperative recovery.

关键词

Keywords

references

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