加速康复外科护理措施在直肠癌微创手术围术期中的应用效果分析

The effect of perioperative nursing of enhanced recovery after surgery for minimally invasive surgery in rectal cancer patients

目的探讨加速康复外科(enhanced recorvery after surgery,ERAS)护理措施在直肠癌微创手术中的应用效果。方法回顾性分析2015年3月至2016年3月在中山大学附属第一医院行直肠癌微创手术的157例患者临床资料,根据患者围术期护理措施的不同,分为ERAS组(87例)和传统组(70例)。传统组患者接受传统围术期护理,ERAS组患者接受围术期的加速康复外科护理措施。比较两组患者术后康复情况和术后并发症的发生情况。结果 ERAS组在术后胃肠功能恢复时间、进食流质时间、进食半流时间及术后住院时间均明显短于传统组(均P<0.05)。两组总体并发症发生率无明显差异[10.3%(9/87)vs 18.6%(13/70),P=0.168]。ERAS组在围术期的护理满意度高于传统组[(93±5.6)分vs.(86±6.5)分,t=7.245,P<0.001]。结论围术期实施加速康复外科护理措施能促进直肠癌微创手术患者的术后康复。

Objective To investigate the nursing of enhanced recovery after surgery for minimally invasive operation for patients with rectal cancer. Methods The clinical data of 157 patients underwent minimally invasive surgery for rectal carcinoma from March 2015 to March 2016 in the first affiliated hospital of Sun Yat-sen university were analyzed retrospectively. The patients were divided into ERAS group(87 cases) and traditional group(70 cases) according to the perioperative nursing measures. The traditional group received traditional perioperative care, and the ERAS group received perioperative accelerated rehabilitation nursing care. The postoperative rehabilitation indexes and postoperative complications of the two groups were compared and analyzed. Results The time of postoperative gastrointestinal function recover, liquid and semifluid diet intake, postoperative hospitalization in the ERAS group were all shorter than those in the traditional group. There was no significant difference in the overall complication rate between the two groups [10.3%(9/87) vs 18.6%(13/70), P=0.168 ]. The nursing satisfaction scores in ERAS group was higher than that in the traditional group [(93±5.6) vs.(86±6.5), t=7.245, P<0.001]. Conclusion The perioperative rehabilitation nursing measures can promote the postoperative rehabilitation of rectal cancer patients who received minimally invasive surgery.