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加速康复外科理念在腹腔镜胃癌根治术患者的围术期护理中应用效果分析 被引量:17

Effect of enhanced recovery after surgery protocol in perioperative nursing care of patients undergoing laparoscopic radical gastrectomy
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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
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  • 1江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量:1353
  • 2Wilmore DW,Kehlet H.Management of patients in fast track surgery[J].BMJ,2001,322(7284):473 -476.
  • 3Kehlet H,Wilmore DW.Multi-modal strategies to improve surgical outcome.Am J Surg,2002,183 (6):630-641.
  • 4Rodgers A,Walker N,Schug S,et al.Reduction of post-operative mortality and morbidity with epidural or spinal anaesthesia:results from an overview of randomized trials[J].BMJ,2000,321(7275):1493.
  • 5Sessler DI.Mild perioperative hypothermia[J].N Engl J Med,1997,336(24):1730-1737.
  • 6Brandstrup B.Fluid therapy for the surgical patient[J].Best Pract Res Clin Anaesthesio1,2006,20 (2):265 -283.
  • 7Schmidt M,Lindenauer PK,Fitzgerald JL,et al.Forecasting the impact of a clinical practice guideline for perioperative betablockers to reduce cardiovascular morbidity and mortality[J].Arch Intern Med,2002,162(1):63 -69.
  • 8Ramirez RJ,Wolf SE,Barrow RE,et al:Growth hormone treatment in pediatric burns:a safe therapeutic approach[J].Ann Surg,1998,228 (4):439-448.
  • 9Van den Berghe G,Wouters P,Weekers F,et al.Intensive insulin therapy in critically ill patients[J].N Engl J Med,2001,345(19):1359-1367.
  • 10Van der Lely AJ,Lamberts SW,Jauch KW,et al.Use of human GH in elderly patients with accidental hip fracture[J].Eur J Endocrinol,2000,143 (5):585-592.

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