To explore the application effect of evidence-based enhanced recovery after surgery nursing in patients undergoing hysteroscopic endometrial polypectomy
基于循证支持的快速康复外科护理在宫腔镜子宫内膜息肉切除术患者中的应用效果

摘要

目的 分析宫腔镜子宫内膜息肉切除术用基于循证支持的快速康复外科护理的价值。方法 随机均分2024年1月-2025年1月本院接诊宫腔镜子宫内膜息肉切除术病人（n=226）。试验组采取基于循证支持的快速康复外科护理，对照组行常规护理。对比VAS评分等指标。结果 关于VAS评分：试验组术后24h（3.95±0.87）分、术后48h（2.71±0.64）分，对照组依次（4.67±0.93）分、（3.55±0.75）分，P＜0.05。住院、首次排便与首次下床活动时间及护理质量：试验组优于对照组（P＜0.05）。并发症：试验组1.77%，对照组11.5%，P＜0.05。结论 宫腔镜子宫内膜息肉切除术病人用基于循证支持的快速康复外科护理，术后疼痛感减轻、康复情况、护理质量提升及并发症预防效果都十分显著。

Abstract

Objective To analyze the value of evidence-based enhanced recovery after surgery nursing in hysteroscopic endometrial polypectomy.
Methods Patients undergoing hysteroscopic endometrial polypectomy in our hospital from January 2024 to January 2025 were randomly divided into two groups (n=226). The experimental group received evidence-based fast track surgery nursing, while the control group received routine nursing. The VAS score and other indicators were compared.
Results The VAS scores at 24h and 48h after operation were (3.95±0.87) points and (2.71±0.64) points in the experimental group, and (4.67±0.93) points and (3.55±0.75) points in the control group, respectively (P < 0.05). The time of hospitalization, first defecation and first ambulation and nursing quality in the experimental group were better than those in the control group (P < 0.05). The incidence of complications was 1.77% in the experimental group and 11.5% in the control group (P < 0.05).
Conclusion   The evidence-based fast track surgery nursing for patients with hysteroscopic endometrial polypectomy is very effective in reducing postoperative pain, improving rehabilitation, improving nursing quality and preventing complications.