加速康复外科在经尿道膀胱肿瘤电切术患者围术期中应用研究

Study on the Safety of Perioperative Application of Enhanced Recovery after Surgery in Transurethral Resection of Bladder Tumours

目的探讨加速康复外科(enhanced recovery after surgery,EARS)理念应用于经尿道膀胱肿瘤电切术围术期的安全性及有效性。方法将74例患者随机分为传统治疗组37例和EARS治疗组37例,传统治疗组采用传统的治疗方法和护理措施,EARS治疗组应用加速康复外科理念进行治疗和护理。比较两组患者围手术期指标:术后并发症发生率,平均禁食时间、下地时间、尿管留置时间、术后住院天数、住院费用等指标。结果 EARS治疗组平均禁食时间、下地时间、尿管留置时间、术后住院天数、住院费用低于传统治疗组。结论 EARS应用于经尿道膀胱肿瘤电切术的患者护理安全可靠,适宜泌尿外科临床应用。

Objective To explore the safety and effectiveness of enhanced recovery after surgery（ERAS） used in the perioperative period of transurethral resection of bladder tumours. Methods 74 patients were randomly divided into the traditional treatment group（n=37） and ERAS treatment group（n=37）. The traditional methods of treatment and nursing care were used in the traditional group and the systematic treatment and nursing care was provided for the patients in the ERAS group in the light of the concept of ERAS. The incidence of postoperative complications, average days and expenses of hospitalization and other indexes were compared between the two groups. Results The incidence of the average days, expenses of hospitalization, infusion volume were lower and shorter in the ERAS treatment group than those in the traditional treatment group（P〈0.05）. Conclusion The systematic treatment and nursing care applied to the patients with transurethral resection of bladder tumours according to ERAS concept is safe and effective, worthy to recommend its clinical use.