摘要
目的探讨加速康复外科理念应用于腹腔镜胃癌根治术患者围术期护理的有效性及安全性。方法回顾性分析2013年5月至2015年5月在惠州市中心人民医院胃肠外科行腹腔镜胃癌根治术的患者156例,其中56例患者应用加速康复外科治疗(ERAS组),100例患者采用传统治疗方法(对照组)。比较两组患者术后排气时间、早期下床活动时间、平均住院时间、住院总费用、并发症发生率的差异。结果 ERAS组术后早期肛门排气时间、患者早期下床活动时间、平均住院时间较对照组缩短;ERAS组住院总费用和并发症发生率均少于对照组,差异有统计学意义(均P<0.05)。结论加速康复外科理念在腹腔镜胃癌患者围术期护理的应用是安全有效的。
Objective To investigate the effect of enhanced recovery after surgery to the patients with gastric cancer in perioperative period. Methods A total of 156 patients with gastric cancer who had been treated with laparoscopic D2 radical gastretomy were randomly assigned into two groups, 56 cases in rapid reha-bilitation group(ERAS group), 100 cases in traditional treatment group(control group). The postoperative ex-haust time, the early ambulation time, the average hospitalization time, the total hospitalization expenses and the complication rate were compared between the two groups. Results The early anal exhaust time, the early ambulation time and the average length of stay in the ERAS group were shorter than those in the control group( P<0.05). The total hospitalization expense and complication rate of ERAS group were less than that of control group. The difference was statistically significant(P<0.05). Conclusions The application of enhanced recovery after surgery in perioperative nursing of patients with laparoscopic gastric cancer is safely and effectively.
出处
《消化肿瘤杂志(电子版)》
2017年第3期197-199,共3页
Journal of Digestive Oncology(Electronic Version)
基金
惠州市科技局计划立项项目(2013Y036)
关键词
加速康复外科
腹腔镜
胃肿瘤
围术期
护理
Enhanced recovery after surgery
Laparoscopic
Stomach neoplasms
Perioperative period
Nursing