快速康复护理路径在胰腺癌患者围术期中的应用效果

The application effect of enhanced recovery after surgery in perioperative period of pancreatic cancer patients

目的观察快速康复护理路径在胰腺癌患者围术期中的应用效果。方法选择化州市人民医院普外科2017年1月至2019年8月住院行择期手术治疗的70例胰腺癌患者作为研究对象,按照数字表法随机分为两组,每组各35例,对照组采用常规护理措施予以干预,观察组采用快速康复教育路径予以干预。比较两组患者术后进食时间、术后肛门排气时间、术后下床活动时间及术后住院时间等手术相关指标;比较两组患者护理干预前后生活质量及腹腔感染、消化道出血、吻合口瘘、切口感染等术后并发症发生率。结果观察组患者术后进食时间、术后肛门排气时间、术后下床活动时间及术后住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者术后并发症发生率(14.29%)低于对照组(42.86%),差异有统计学意义(P<0.05);两组患者护理干预前各项生活质量评分比较差异无统计学意义(P>0.05),干预后两组患者各项生活质量评分均明显升高(P<0.05),且观察组升高较对照组更为明显(P<0.05)。结论快速康复护理路径应用于胰腺癌围术期可明显促进患者快速康复、降低术后并发症发生率和提高生活质量。

Objective To observe the application effect of enhanced recovery after surgery(ERAS)in patients with pancreatic cancer(PC)during perioperative period.Methods A total of 70 patients with PC who were hospitalized for elective surgery from January 2017 to August 2019 from Huazhou People’s Hospital were selected as the research objects,and they were randomly divided into two groups according to the random number table,35 cases in each group.The control group received routine nursing,while the observation group received ERAS.The operation-related indexes such as the feeding time,the anal exsufflation time,the time of off-bed activity,and the hospitalization stay were compared between the two groups.The quality of life and postoperative complications such as abdominal infection,gastrointestinal bleeding,anastomotic leakage and incision infection were compared between the two groups before and after nursing intervention.Results The feeding time,the anal exsufflation time,the time of off-bed activity and the hospitalization stay after surgery in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group(14.29%)was lower than that in the control group(42.86%),and the difference between the two groups was statistically significant(P<0.05).There was no significant difference in the score of each dimension of quality of life between the two groups before nursing intervention(P>0.05).After intervention,the score of each dimension of quality of life in both groups increased significantly(P<0.05),and the increase in the observation group was more obvious than that in the control group(P<0.05).Conclusion ERAS can obviously promote the rehabilitation of patients,reduce the incidence of postoperative complications and improve the quality of life for patients with PC during perioperative period.