加速康复外科理念在肺癌患者围手术期的应用效果  

ERAS concept in the application of perioperative effect of lung cancer patients

作　　者：曾凡荣[1] ZENG Fan-rong(Huangchuan People's Hospital,Xinyang,Henan 465150,China)

机构地区：[1]河南省潢川县人民医院骨科,河南信阳465150

出　　处：《青岛医药卫生》2020年第4期303-305,共3页Qingdao Medical Journal

摘　　要：目的分析肺癌患者围手术期应用加速康复外科(ERAS)理念的临床效果。方法选择2017年1月至2019年1月期间在本院手术治疗的肺癌患者90例,随机分为研究组和对照组各45例,对照组给予常规围手术期护理,研究组围手术期应用加速康复护理,比较两组效果。结果研究组肠鸣音恢复时间为(19.8±2.5)h、住院时间为(7.8±1.6)d,与对照组的(27.5±3.9)h和(10.9±2.7)d比较,差异有统计学意义(P<0.05)。两组住院费用、术后3d和5d按疼痛数字评分法(NRS)评分比较,差异均有统计学意义(P<0.05)。研究组并发症发生率为6.6%,护理满意度为95.6%,对照组并发症发生率24.4%,护理满意度75.6%,差异均有统计学意义(P<0.05)。结论加速康复外科理念应用于肺癌围手术期患者,有助于减轻患者术后疼痛,缩短患者术后恢复时间和住院时间,降低患者并发症发生风险,提升患者满意度。Objective To analyze the clinical effect of the ERAS concept in the perioperative period of lung cancer patients. Methods A total of 90 cases of lung cancer patients who underwent surgical treatment in our hospital from January 2017 to January 2019 were randomly selected and divided into the study group(45 cases) and the control group(45 cases). The control group was given routine perioperative nursing, and the study group was given perioperative accelerated rehabilitation nursing, and the effects of the two groups were compared. Results The recovery time of bowel sounds in the study group was(19.8±2.5) h, and the hospitalization time was(7.8±1.6) days, which was significantly different from(27.5±3.9) h and(10.9±2.7) days in the control group(P< 0.05). There were statistically significant differences between the two groups in hospitalization costs and NRS scores on postoperative 3 d and 5 d(P< 0.05). The complication rate was 6.6% in the study group, and the nursing satisfaction was 95.6%, which were statistically significant compared with 24.4% and 75.6% in the control group. Conclusion The application of the concept of accelerated rehabilitation surgery in patients with lung cancer during the perioperative period can help reduce postoperative pain, shorten postoperative recovery time and hospitalization time, reduce the risk of complications, and improve patients′ satisfaction, which can be strengthened.

关 键 词：加速康复外科 围手术期 肺癌患者 应用效果 

分 类 号：R49[医药卫生—康复医学]