加速康复外科对胃肠手术术后并发症的影响

Influence of enhanced recovery after surgery on postoperative complications of gastrointestinal surgery

目的探讨加速康复外科(ERAS)对胃肠手术术后并发症的影响。方法选择2015年2月至2016年10月我院收治的130例胃肠手术治疗患者作为研究对象,将其分为ERAS组和对照组,每组65例。其中对照组采用传统术后护理原测,ERAS组给予ERAS护理措施。比较两组术后并发症发生情况和严重程度。结果 ERAS组术后并发症发生53例次,对照组术后并发症为128例次。ERAS组中Ⅰ、Ⅱ和Ⅲ级并发症发生率显著低于对照组(P<0.05)。结论将ERAS运用于胃肠手术的术后管理中是安全有效的,可减少术后并发症的发生,促进胃肠功能的恢复。

Objective To explore the influence of enhanced recovery after surgery(ERAS)on postoperative complications of gastrointestinal surgery.Methods From February 2015 to October 2016,a total of 130 patients underwent gastrointestinal surgery in our hospital were selected as the research objects,which were divided into ERAS group and control group,with 65 cases in each group.Traditional postoperative nursing principle was used in the control group,the ERAS nursing measures was used in the ERAS group.Postoperative complications and its severities of the two groups were compared.Results Postoperative complications in the ERAS group occurred 53 times,which in the control group occurred 128 times.The incidences of complications of degree I andⅡandⅢin the ERAS group were significantly lower than those in the control group(P<0.05).Conclusion Applying ERAS into the postoperative management of gastrointestinal surgery is safe and effective,it can reduce the occurrence of postoperative complications and promote the recovery of gastrointestinal function.