加速外科康复理论对内镜黏膜下剥离术患者预后的影响

Influence of theory of enhanced recovery after surgery on prognosis of patients receiving endoscopic submucosal dissection

目的:探讨加速康复外科(ERAS)理论对内镜黏膜下剥离术(ESD)患者预后及术后生活质量的影响。方法:2015年1月~2017年4月选取84例ESD患者并随机等分为观察组和对照组,对照组围手术期应用常规性护理;观察组围手术期应用ERAS实施护理,比较两组患者预后、并发症发生及术后生活质量情况。结果:观察组患者术后疼痛评分低于对照组(P<0.05),而首次下床活动时间、平均住院时间短于对照组(P<0.05),满意度评分高于对照组(P<0.05);观察组患者术后并发症发生率低于对照组(P<0.05);观察组干预后生理机能、生理职能、机体疼痛、总体健康、活力状态、社会职能、情感状态、精神健康评分均高于对照组(P<0.05)。结论:ERAS理论能有效减轻ESD患者术后疼痛感,降低患者术后并发症,促进患者患者术后康复,提高患者术后生活质量。

Objective： To discuss the influence of theory of enhanced recovery after surgery（ ERAS） on the prognosis and post-operation life quality of patients receiving endoscopic submucosal dissection（ ESD）. Methods： Selected 84 ESD patients from January 2015 to April 2017,and they were equally divided into observation group and control group at random,where patients in the control group received conventional nursing in the perioperative period; and patients in the observation group received EARS nursing in the perioperative period,and patients in the two groups were compared in prognosis,occurring of complications and post-operation life quality. Results： The pain score of patients in the observation group after operation was lower than that of patients in the control group（ P〈0. 05）,while the first time for ambulation and average length of stay of patients in the observation group were shorter than those of patients in the control group（ P〈0. 05）,and the satisfaction score of patients in the observation group was higher than that of patients in the control group（ P〈0. 05）; the occurring rate of post-operation complications of patients in the observation group was lower than that of patients in the control group（ P〈0. 05）; the physiological condition,physiological function,bodily pain,active state,social function,emotional state and mental health scores of patients in the observation group after intervention were higher than those of patients in the control group（ P〈0. 05）. Conclusion： EARS theory could effectively reduce the post-operation sense of pain of ESD patients,reduce the patients＇ post-operation complications,promote the patients＇ post-operation recovery and improve the patients＇ life quality after operation.