ERAS理念下的术后管理在肝癌肝切除术后康复中的意义

Significance research of postoperative management by ERAS in the rehabilitation after resection of liver cancer

目的探讨ERAS理念下的术后管理在肝癌肝切除术后康复中的重要意义,为临床提供参考依据。方法选取2016年4月至2017年2月行肝切除术的肝癌患者80例,随机分成ERAS术后组(40例)和对照组(40例)。ERAS术后组采用ERAS理念指导下的术后管理措施,对照组采用传统术后管理措施,进行对照研究。分析比较两组的术前资料、术中情况以及术后疼痛评分、肝功能及肠道功能恢复情况、住院天数、住院费用、术后并发症、再人院率,进行统计学分析。结果两组的术前资料及术中情况无差异(P>O.05),与对照组相比,ERAS术后组术后疼痛评分降低,肝功能及肠道恢复加快,术后住院天数减少,住院费用降低;以上差异均具有统计学意义(P<0.05),两组患者的术后并发症情况及再入院率无统计学差异(P>0.05)。结论 ERAS理念下的术后管理可以加速患者术后的康复进程、减轻术后疼痛、减少住院天数、降低住院费用,同时不增加术后并发症及再入院率,在肝癌肝切除术后康复中具有重要意义。

Objective To investigate Significance of postoperative management by ERAS in the rehabilitation after resection of liver cancer. Methods 80 patients with liver cancer were randomly divided into ERAS-post group（40） and control group（40）. The ERAS-post group received the postoperative management guided by the ERAS concept, while the control group underwent traditional treatment. The parameters including preoperative data, intraoperation, numerical rating scale （NRS）, recovery of hepatic and intestinal function, length of hospital stay, cost of hospitalization, postoperative complications and readmission rate were compared. Results There was no difference in preoperative data, and intraoperation （P 〉 0. 05 ）. ERAS-post group＇ s NRS was lower, hepatic and intestinal function recovery was accelerated, and both hospital stay and cost were reduced （ P 〈 0. 05 ）. No difference was displayed in complications and readmission rate（P 〉 0. 05）. Conclusion Postoperative management guided by the ERAS concept used in resection of liver cancer can accelerate postoperative recovery, relieve pain, shorten hospital stay and reduce hospital cost, without any increase in postoperative complications and readmission rate.