摘要
加速康复外科(ERAS)在循证理论支撑下通过优化护理干预方案,进而减少患者应激反应,从而达到快速康复的目的。胃癌属于临床多发性肿瘤,手术切除是其首选治疗,当前研究结果显示,由于疾病、治疗措施、患者应激反应等因素常导致胃癌患者营养不良,而营养不良影响患者术后康复。ERAS通过早期营养风险评估、营养筛查和诊断、静脉输送营养液、术后肠内营养干预、适当康复锻炼等多模式对胃癌患者围手术期进行护理干预,来减轻术后应激反应、改善患者术后疼痛和并发症发生,从而促进患者恢复正常生活,因此通过ERAS理论,制订有效干预措施,对于改善胃癌患者预后具有重要意义。
Enhanced recovery after surgery(ERAS) can reduce stress response of patients by optimizing nursing intervention under evidence-based theory support,so as to achieve rapid recovery.Gastric cancer belongs to clinical multiple tumors and surgical resection is the preferred treatment.Current research results show that malnutrition in patients with gastric cancer is often caused by diseases,treatment measures,stress response of patients and other factors,which affects postoperative rehabilitation of patients.ERAS can relieve the postoperative stress response and improves the postoperative pain and complications through early nutritional risk assessment,nutritional screening and diagnosis,intravenous delivery of nutrient solution,postoperative enteral nutrition intervention,appropriate rehabilitation exercise,and other multi-mode nursing interventions for patients with gastric cancer during perioperative period,thereby promoting patients to return to normal life.Therefore,development of effective intervention measures through ERAS theory is of great significance for improving the prognosis of patients with gastric cancer.
作者
何冬梅
刘春娟
付琳
HE Dongmei;LIU Chunjuan;FU Lin(Gastric Cancer Center,West China Hospital Sichuan University,Sichuan Province,Chengdu 610041,China)
出处
《中国医药导报》
CAS
2024年第13期194-196,共3页
China Medical Herald
关键词
加速康复外科理念
胃癌
营养不良
Enhanced recovery affer surgery concept
Gastric cancer
Malnutrition
