ERAS干预措施对胆囊切除患者术后胃肠功能的影响

Effect of ERAS-based care on postoperative gastrointestinal function in patients undergoing cholecystectomy

目的 观察ERAS护理干预措施对胆囊切除患者术后胃肠功能的影响。方法 选择2020年5月至2022年5月行胆囊切除的患者106例,按随机数字表法分为研究组和对照组,每组53例。对照组围术期予以常规护理措施,研究组在对照组基础上给予ERAS理念的护理措施。采用胃肠道症状分级评分量表(GSRS)、胃肠道生活质量指数(GIQLI)评估干预效果,记录2组患者术后首次进食时间、术后首次肛门排气时间、术后首次排便时间,住院时间,并发症发生情况。结果 研究组干预后GSRS量表评分中各维度评分及总分均低于对照组(P<0.05);研究组干预后GIQLI量表评分中各维度评分及总分均低于对照组(P<0.05);研究组术后首次进食时间、术后首次肛门排气时间、术后首次排便时间、住院时间均低于对照组(P<0.05);研究组并发症发生率略低于对照组但差异无统计学意义(P>0.05)。结论 ERAS护理干预措施能够改善胆囊切除患者术后胃肠道不适症状,提高患者胃肠道生活质量,促进患者胃肠功能恢复及术后康复,降低患者住院时间。

Objective To study the enhanced recovery after surgery(ERAS)-based care on postoperative gastrointestinal function in patients undergoing cholecystectomy.Methods A total of 106 patients who underwent cholecystectomy in our hospital from May 2020 to May 2022 were selected as the study subjects.They were randomly divided into the study group and control group,with 53 patients in each group.All patients were managed by conventional care,and those in the study group additionally received ERAS-based care.The Gastrointestinal Symptom Rating Scale(GSRS) and the Gastrointestinal Quality of Life Index(GIQLI) were used to evaluate the intervention effect.The time of first oral feeding,time of first anal exhaust,time of first bowel movement,length of stay,and incidence of complications were recorded.Results After intervention,the score of each dimension and the total score of the GSRS and GIQLI scales were significantly lower in the study group than those of control group(all P<0.05).The time of first oral feeding,time of first anal exhaust,time of first bowel movement and length of stay were significantly lower in the study group than those of control group(P<0.05).The incidence of complications was slightly lower in the study group than that of control group,although a significant difference was not detectable(P>0.05).Conclusion ERAS-based care can improve postoperative gastrointestinal discomfort symptoms,increase gastrointestinal quality of life,promote gastrointestinal function recovery and postoperative rehabilitation,and reduce length of stay in patients undergoing cholecystectomy.