Gu L L, Zhang X J, Li J, Zhou G
Department of Nursing, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
Zhonghua Yi Xue Za Zhi. 2019 Jul 9;99(26):2052-2056. doi: 10.3760/cma.j.issn.0376-2491.2019.26.010.
To investigate the feasibility and safety of enhanced recovery after surgery (ERAS) in perioperative period of liver operation. One hundred and sixty-six patients who underwent liver operation were enrolled as control group, and additional 170 patients were chosen as ERAS group. Preoperative and postoperative indexes of the two groups were compared. Compared with the control group, patients in ERAS group had higher preoperative enteral nutrition support rate, lower incidence of thirst and hunger, earlier initial postoperative feeding, higher prophylactic analgesia rate, lower incidence of outbreak pain, more daily activities, lower incidence of abdominal distention and shorter hospitalization days (all <0.05). Application of enhanced recovery after surgery on perioperative nursing care in elective liver surgical patients is safe, and it can relieve patients' perioperative discomfort and accelerate postoperative rehabilitation.
探讨加速康复外科（ERAS）在肝脏手术围手术期应用的可行性与安全性。选取166例行肝脏手术的患者作为对照组，另选170例患者作为ERAS组。比较两组患者术前及术后指标。与对照组相比，ERAS组患者术前肠内营养支持率更高，口渴和饥饿发生率更低，术后首次进食时间更早，预防性镇痛率更高，爆发痛发生率更低，日常活动更多，腹胀发生率更低，住院天数更短（均P<0.05）。加速康复外科应用于择期肝脏手术患者的围手术期护理是安全的，可减轻患者围手术期不适，加速术后康复。
