基于加速康复外科理念的禁饮食方案在宫颈癌根治术患者中的应用

Application of Dietary Restriction Program Based on the Concept of Enhanced Recovery after Surgery in Patients Undergoing Radical Resection of Cervical Cancer

目的:探讨基于加速康复外科(ERAS)理念的禁饮食方案在宫颈癌根治术患者中的应用方法和效果。方法:将2017年1月1日~12月31日拟行宫颈癌根治术的79例患者作为对照组,采取常规围术期禁饮食方案;将2018年1月1日~12月31日拟行宫颈癌根治术的83例患者作为实验组,采取基于ERAS理念的禁饮食方案。比较两组干预效果。结果:实验组患者术前禁饮食时间,术后、术后第1天口渴评分、饥饿评分、疼痛视觉模拟评分法(VAS)评分,肠鸣音恢复时间、首次排气时间、首次排便时间、进半流食时间、首次下床及住院时间均少于对照组(P<0.01);实验组患者胃肠功能恢复过程中并发症发生率为3.60%,对照组为16.46%,两组比较差异有统计学意义(P<0.01)。结论:对宫颈癌根治术患者实施基于ERAS理念的禁饮食方案,可明显缩短患者术前、术后禁饮食时间,减轻患者术后口渴与饥饿感,加快术后胃肠功能恢复,降低并发症发生率,效果理想。

Objective:To explore the application and effect of the dietary restriction program based on the concept of ERAS in the patients undergoing radical resection of cervical cancer.Methods:A total of 79 patients who were scheduled to undergo radical resection of cervical cancer from January 1,2017 to December 31,2017 were taken as the control group,and routine perioperative diet restriction program was adopted.From January 1,2018 to December 31,2018,83 patients who planned to undergo radical resection of cervical cancer were selected as the experimental group,and the diet restriction program based on the concept of ERAS was adopted.The effect of intervention was compared between the two groups.Results:The preoperative abstinence time,thirst score,hunger score,visual analogue score for pain(VAS)postoperative and 1 day postoperative,bowel sound recovery time,first exhaust time,first defecation time,intake time of semi-liquid diet,first time of getting out of bed and hospital stay of the experimental group were all less than the control group(P<0.01).The incidence of complications in the recovery of gastrointestinal function was 3.60%in the experimental group and 16.46% in the control group,with statistically significant difference between the two groups(P<0.01).Conclusion:The dietary restriction program based on ERAS for patients undergoing radical resection of cervical cancer can significantly shorten the preoperative and postoperative dietary restriction time,reduce postoperative thirst and hunger,enhance postoperative recovery of gastrointestinal function,and reduce the incidence of complications,with satisfactory results.