快速康复外科护理对腹部创伤性患者术后应激反应与康复效果的影响

Effect of enhanced recovery after surgery nursing on postoperative stress response and rehabilitation of patients with abdominal trauma

目的 探讨快速康复外科(ERAS)护理理念对腹部创伤性患者术后应激反应及康复效果的影响。方法 选取2016年10月至2018年10月我院收治的80例腹部创伤患者为研究对象,根据随机数字表将其等分为观察组和对照组,对照组应用常规护理,观察组应用ERAS护理。比较两组患者围手术期血清C反应蛋白(CRP)及胰岛素抵抗指数(IR)的变化,记录两组患者术后疼痛评分(VAS)及术后康复情况。结果 观察组患者术后第3,5,7天血清CRP水平、IR水平均低于对照组(P<0.05)。观察组术后VAS评分低于对照组(P<0.05),肛门恢复排气时间、胃管留置时间、首次下床活动时间、平均住院时间短于对照组(P<0.05),满意度评分高于对照组(P<0.05)。观察组患者术后并发症发生率低于对照组(P<0.05)。结论 ERAS理论可有效减轻腹部创伤患者围手术期应激反应,减轻其术后疼痛感,促进术后康复,提高患者满意度。

Objective To explore the effect of enhanced recovery after surgery(ERAS) nursing on postoperative stress response and rehabilitation of patients with abdominal trauma. Methods To select 80 cases of patients with abdominal trauma who were admitted to our hospital from October 2016 to October 2018 as the study subjects. They were divided into observation group and control group according to the random number table. The control group was given routine nursing and the observation group was treated with ERAS nursing. The changes of serum C-reactive protein (CRP) and insulin resistance index (IR) in the two groups were compared. The postoperative pain score (VAS) and postoperative recovery were recorded. Results The serum CRP level and IR level of the observation group were lower than those of the control group on the 3rd, 5th and 7th day after operation( P <0.05).The postoperative VAS score in the observation group was lower than that in the control group( P <0.05). The anus recovery time, gastric tube indwelling time, first time to get out of bed, and average hospital stay in the observation group were shorter than those in the control group( P <0.05).The satisfaction score in the observation group was higher than that in the control group( P <0.05).The postoperative incidence of complications in the observation group was lower than that in the control group( P <0.05). Conclusion ERAS theory can alleviate the perioperative stress response of patients with abdominal trauma effectively. Meanwhile, it can reduce postoperative pain and promote postoperative recovery of the patients, thus improving their satisfaction towards nursing.