探讨限制性输液在肝切除ERAS方案中的价值及应用

Exploration on the value and application of restricted infusion in ERAS regimen of hepatectomy

目的:探讨限制性输液在肝切除快速康复外科(ERAS)方案中的价值及应用。方法:2018年11月-2020年1月收治择期行肝叶切除术患者60例,随机分为两组,各30例。试验组术前禁食6 h,禁水2 h,术中行限制性输液,术后早期进食,限制输液总量;对照组常规模式补液。比较两组术后胃肠道功能恢复时间、住院时间、住院费用、疼痛程度及护理满意度。结果:试验组术后胃肠道功能恢复时间、住院时间、住院费用及疼痛程度均低于对照组,护理满意度高于对照组,差异均有统计学意义(P<0.05)。结论:限制性液体治疗在肝叶切除手术中可缩短住院时间和降低住院费用,增加护理满意度。

Objective:To investigate the value and application of restrictive infusion in ERAS for hepatectomy.Methods:From November 2018 to January 2020,60 patients who underwent elective hepatectomy were selected,they were randomly divided into the two groups with 30 cases in each group.The experimental group:fasting for 6 hours before operation and 2 hours for water restriction,restricting infusion during operation,and eating early after operation to limit the total amount of infusion.The control group was refilled in the regular mode.The recovery time of gastrointestinal function recovery,hospitalization time,hospitalization cost,pain degree and nursing satisfaction of the two groups of patients were compared.Results:The postoperative gastrointestinal function recovery time,hospitalization time,hospitalization costs,and pain levels in the experimental group were all lower than those in the control group,and nursing satisfaction was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Restricted fluid therapy shortens the length of hospital stay and reduces the cost of hospitalization during liver lobectomy to increase nursing satisfaction.