腹腔镜肝切除术护理中应用快速康复外科的效果及对患者术后消化功能的影响

目的:探讨快速康复外科(ERAS)理念运用在腹腔镜肝切除术中的临床效果及对患者术后消化功能的影响。方法:选择2015年1月-2016年1月期间我院收治的行腹腔镜肝切除术患者90例为研究对象,根据数字随机法将其分为两组,其中对照组行常规围术期护理,而观察组则运用ERAS护理,对两组护理效果进行比较分析。结果:与对照组比较,观察组的术后并发症发生率低,组间对比差异明显(P<0.05);同时,两组的镇痛次数、排便、进食、排气等消化功能恢复情况以及住院时间比较差异有统计学意义(P<0.05)。结论:临床上给予腹腔镜肝切除术患者快速康复外科理念护理可以缩短住院时间。

Objective:To explore the clinical effect of fast track surgery(ERAS)in laparoscopic hepatectomy.Methods:90 cases of laparoscopic hepatectomy in our hospital in January 2015-2016 and January were selected and divided into two groups according to the digital random method.The control group was treated with routine perioperative nursing,while the observation group used ERAS nursing,and the nursing effect of the two groups was compared and analyzed.Results:compared with the control group,the incidence of postoperative complications in the observation group was low and the difference between the groups was significant(P<0.05).At the same time,there were significant differences in the number of analgesia,defecation,feeding,exhaust and hospitalization time between the two groups(P<0.05).Conclusion:the concept of fast track surgery can shorten the length of stay in patients undergoing laparoscopic hepatectomy.