基于ERAS围术期处理方案在老年急腹症中的应用

Application of EARS Perioperative Treatment Scheme in Acute Abdomen in the Elderly

目的:探讨对老年急腹症患者实施基于加速康复外科(ERAS)理念的围术期处理方案的效果。方法:选取2019年1月至2020年12月潮州市中心医院收治的60例老年急腹症患者,采用随机数字表法将其分为观察组与对照组两组,对照组患者实施常规围术期处理方案,观察组患者实施基于ERAS理念的围术期处理方案,比较两组患者术后恢复情况、术后出现并发症情况及营养情况。结果:与对照组患者相比较,观察组患者的术后首次排气时间、首次排便时间以及住院时间均明显更短,差异均具有统计学意义(P<0.05);观察组患者的并发症发生率明显更低,差异具有统计学意义(P<0.05);观察组患者前白蛋白、血清白蛋白等指标水平明显更高,差异具有统计学意义(P<0.05)。结论:对老年急腹症患者采取基于ERAS理念的围术期处理方案可以有效提高预后效果,降低并发症出现的概率,改善患者营养情况。

Objective To investigate the effects of perioperative treatment based on enhanced recovery after surgery(ERAS)concept in elderly patients with acute abdomen.Methods 60 elderly patients with acute abdomen treated in Chaozhou Central Hospital from January 2019 to December 2020 were randomly divided into observation group and control group by random number table method.The patients in the control group were given routine perioperative treatment scheme,and the patients in the observation group were given perioperative treatment scheme based on EARS concept.The postoperative recovery of the two groups were compared postoperative complications and nutrition.Results Compared with the control group,the first postoperative exhaust time,first defecation time and hospital stay in the observation group were significantly shorter,and the differences were statistically significant(P<0.05);The incidence of complications in the observation group was significantly lower(P<0.05);The levels of prealbumin and serum albumin in the observation group were significantly higher(P<0.05).Conclusion The perioperative treatment scheme based on EARS can effectively improve the prognosis,reduce the probability of complications and improve the nutritional status of elderly patients with acute abdomen.