规范化管理在肝胆外科手术患者中的应用价值  

Application Value of Standardized Management in Patients with Hepatobiliary Surgery

作　　者：吴培生[1] 陈欺欢 张秀梅[1] 李舒涵 蒋居毅 WU Peisheng;CHEN Qihuan;ZHANG Xiumei;LI Shuhan;JIANG Juyi(Guangxi Qinzhou First People’s Hospital,Qinzhou 535000,China)

机构地区：[1]广西钦州市第一人民医院

出　　处：《中国医学创新》2019年第28期166-169,共4页Medical Innovation of China

摘　　要：目的:探讨加速康复外科(ERAS)理念指导下的规范化管理在肝胆外科手术患者中的应用价值。方法:选择2016年1月-2018年10月在本院肝胆外科完成手术治疗的患者100例,按照随机数字表法分为对照组(n=50)和试验组(n=50),对照组给予常规管理,试验组在对照组基础上给予ERAS指导下的规范化管理,分析两组的管理效果。结果:试验组手术时间、术后下床活动时间、排气时间、排便时间与住院时间均短于对照组(P<0.05),试验组满意度优于对照组(P<0.05)。结论:对肝胆外科手术患者使用ERAS理念指导下的规范化管理,可以有效促进患者的恢复,提升满意程度。Objective:To explore the application value of standardized management guided by the concept of enhanced recovery after surgery(ERAS)in patients undergoing hepatobiliary surgery.Method:A total of 100 patients completed surgical treatment in the hepatobiliary surgery department of our hospital from January 2016 to October 2018 were selected and divided into control group(n=50)and experimental group(n=50)according to the random number table method.The control group was given routine management,and the experimental group was given standardized management under the guidance of ERAS on the basis of the control group.The management effect of the two groups was analyzed.Result:The operation time,postoperative time of getting out of bed,exhaust time,defecation time and hospitalization time of the experimental group were all lower than those of the control group(P<0.05).The satisfaction of the experimental group was better than that of the control group(P<0.05).Conclusion:The standardized management under the guidance of ERAS concept in patients undergoing hepatobiliary surgery can effectively promote the recovery of patients and improve the satisfaction degree.

关 键 词：加速康复外科 规范化管理 肝胆外科 

分 类 号：R47[医药卫生—护理学]