摘要
目的:探究基于加速康复外科(ERAS)理念手术室护理对直肠癌腹腔镜手术患者应激反应水平、术后康复效果及术后并发症的影响。方法:选取2020-2022年于我院行直肠癌腹腔镜手术患者87例,按照随机数字表法分为传统护理组43例和ERAS护理组44例。传统护理组采用传统手术室护理方案,ERAS护理组采用ERAS理念下的手术室护理方案,观察2组患者的应激反应水平、术后康复效果及术后并发症发生情况。结果:2组患者术前舒张压、收缩压、心率及肾上腺素水平比较差异无统计学意义(P>0.05),ERAS护理组术中舒张压、收缩压、心率及肾上腺素水平明显低于传统护理组(P<0.05);术后ERAS护理组患者肛门首次排气时间、首次排便时间、首次进食时间、首次下床时间、术后住院时间均明显短于传统护理组(P<0.05);ERAS护理组患者术后并发症发生率明显低于传统护理组(P<0.05)。结论:基于ERAS理念的手术室护理可明显降低直肠癌腹腔镜患者的应激反应水平,加速患者术后康复,降低并发症发生率。
Objective To investigate the influence of operating room nursing based on enhanced recovery after surgery(ERAS)concept on their stress response level,as well as postoperative rehabilitation efficacy and complication of the patients undergoing laparoscopic surgery for rectal cancer.Methods Randomly divided the 87 patients being eligible to above conditions treated in authors hospital(2020-2022)into routine nursing group(43 cases,routine group)and ERAS nursing group(44 cases,ERAS group),which on both groups respectively implemented corresponding nursing schemes;Then,observed and compared both groups patients'stress response levels,as well as postoperative rehabilitation efficacy and complications incidence.1Results In preoperative diastolic pressure,systolic pressure,heart rate,and epinephrine levels there was no statistical difference between the two groups(P>0.05);during surgery,above each items of ERAS group were significantly lower than that of routine group(P<0.05);after surgery in the time for first flatus from anus,for first defecation,for first eating,for first out-of-bed ambulation,as well as for postoperative hospitalization ERAS group was all significantly shorter than routine group(all,P<0.05);the incidence of postoperative complications in ERAS group was significantly lower than that in routine group(P<0.05).Conclusion The operating room nursing based on ERAS concept can significantly reduce patients stress response level,accelerate their postoperative rehabilitation,and decrease complication incidence.
作者
张艳
陈于飞
ZHANG Yan;CHEN Yu-fei(Gushi County's People's Hospital,Gushi,Henan 465200)
出处
《中国肛肠病杂志》
2023年第7期52-55,共4页
Chinese Journal of Coloproctology
