中西医结合ERAS护理在食管癌围术期应用进展

Application progress of traditional Chinese and Western medicine combined with ERAS nursing in the perioperative period of esophageal cancer

通过总结中西医结合护理和加速康复外科(ERAS)理念的起源发现,中西医结合ERAS护理在临床中应用范围较广,其开始多应用于肠癌、甲状腺癌等手术,由于食管癌围术期情况复杂,食管癌ERAS临床应用较晚。近年来,由于食管癌微创技术广泛开展,食管癌ERAS临床应用探索才逐步增多,并取得了良好的效果。ERAS理念的营养管理模式对食管癌患者术后开始下床活动时间、患者身体质量指数、血红蛋白、白蛋白水平、生活质量评分、护理满意度等均有明显改善。食管癌围术期五环节护理方法的量化表应用也证实了中西医结合ERAS护理比单一ERAS效果更佳,中西医结合ERAS护理更能使食管癌患者围术期减少或降低手术的生理及心理创伤,达到快速康复的目的。本文汇总了基于ERAS理念的中西医结合护理食管癌围术期临床应用的内容、目标、基本作用、效果,可有效降低术后并发症发生率、减少患者的住院费用、缩短住院时间,能有效加快和促进患者康复,值得临床推广应用。

By summarizing the origin of integrated traditional Chinese and Western medicine nursing and the concepts of enhanced recovery after surgery(ERAS),it is found that the application of traditional Chinese and Western medicine combined with ERAS nursing is widely used in clinical practice,and it has been applied to operations such as intestinal cancer and thyroid cancer.Due to the complexity of esophageal cancer perioperative conditions,the clinical application of ERAS for esophageal cancer is relatively late.In recent years,due to the extensive development of minimally invasive technology for esophageal cancer,the clinical application of ERAS for esophageal cancer has gradually increased and achieved good effects.The nutrition management mode of ERAS concept has significantly improved the time of getting out of bed after operation for patients with esophageal cancer,the patient's body mass index,hemoglobin and albumin levels,the quality of life score and nursing satisfaction degree,etc.The application of the quantitative table of the five link nursing methods in the perioperative period of esophageal cancer also confirms that the traditional Chinese and Western medicine combined with ERAS nursing is better than the single ERAS nursing.The traditional Chinese and Western medicine combined with ERAS nursing can better decrease or reduce the physiological and psychological trauma of the operation in the perioperative period of esophageal cancer patients,and achieve the goal of rapid recovery.This article summarizes the contents,objectives,basic functions and effects of the perioperative clinical application of integrated traditional Chinese and Western medicine nursing for esophageal cancer based on ERAS concept,which can effectively reduce the incidence of postoperative complications,reduce the hospitalization expenses of patients,shorten the hospitalization time,and effectively accelerate and promote the recovery of patients.It is worthy of clinical promotion and application.