腹腔镜右半肝切除术的围手术期ERAS护理效果分析

Analysis of perioperative enhanced recovery after surgery nursing effect of laparoscopic right hemihepatectomy

目的探讨腹腔镜右半肝切除术的围手术期应用ERAS的护理效果。方法选择2016年10月至2017年12月在我院接受腹腔镜右半肝切除术治疗的68例患者按入院顺序进行分组,对照组34例采用传统护理方法,ERAS组在对照组基础上增加ERAS护理。对两组患者术后住院日、VAS评分、首次肛门排气和下床时间、生活自理能力评分、静脉血栓风险以及患者对护理的满意程度进行比较分析。结果术后与对照组比较,ERAS组患者首次下床时间、肛门首次排气时间及住院时间均有效减少;VAS评分低于对照组;Barthel指数评分和护理满意度高于对照组,数据统计均P<0.05,差异具有统计学意义。两组患者术后静脉血栓风险评估及并发症比较,P>0.05,差异无统计学意义。结论对腹腔镜右半肝切除术后患者采用ERAS护理临床效果良好,可以安全平稳加快患者的康复时间,住院时间较短,不增加并发症的发生,患者满意度高。

Objective To investigate the nursing effect of perioperative ERAS in laparoscopic right hepatectomy.Methods Sixty?eight patients who underwent laparoscopic right hemihepatectomy in our hospital from October 2016 to December 2017 were selected and grouped according to admission order.In the control group,34 cases were treated with traditional nursing methods.The nursing program ERAS group(34 case)was based on the addition of ERAS care to the control care program.The postoperative hospitalization days,VAS scores,the first time of expelling flatus and getting up,score of self?care ability,risk of venous thrombosis,and patient satisfaction with care were compared between the two groups of patients.Results Compared with the control group,the first time of bed?out,the first anal exhaust time and the length of hospital stay were effectively reduced in the ERAS group.The VAS score was lower than that of the control group;the Barthel index score and nursing satisfaction were higher than the control group,P<0.05,the differences were statistically significant.The risk assessment and complications of postoperative venous thrombosis in the two groups was not statistically significant.Conclusion The clinical effect of ERAS nursing in patients after laparoscopic right hepatectomy is safe and stable,which can speed up the recovery time of patients,shorten hospital stay,with no increase in complications,and high patient satisfaction.