ERAS理念对肾肿瘤行腹腔镜肾部分切除术患者的影响  

Effect of Rapid Rehabilitation Surgery Concept in Patients with Renal Tumor Who Underwent Laparoscopic Partial Nephrectomy

作　　者：阮喜各 冉令霞[1] 季玮 李明洁 刘洋[1] Ruan Xige;Ran Lingxia;Ji Wei(Qilu Hospital of Shandong University,Jinan Shandong 250012,China)

机构地区：[1]山东大学齐鲁医院山东大学护理理论与实践创新研究中心,山东济南250012

出　　处：《齐鲁护理杂志》2022年第2期4-6,共3页Journal of Qilu Nursing

摘　　要：目的:探讨快速康复外科(ERAS)理念对肾肿瘤行腹腔镜肾部分切除术患者的影响。方法:将2017年1月1日~2018年6月30日53例肾肿瘤行腹腔镜肾部分切除术患者为对照组,给予常规护理。将2018年7月1日~2020年7月31日58例肾肿瘤行腹腔镜肾部分切除术患者为观察组,在常规护理基础上给予ERAS理念。比较两组护理效果。结果:观察组手术时间、住院时间、导尿管拔除时间、术后下床时间、引流管拔除时间、术后首次排便时间、术后饮水时间、术后进食时间均短于对照组(P<0.01),术后并发症发生率低于对照组(P<0.05)。术后随访30 d,对照组1例因术后出血返院行动脉栓塞治疗,观察组无返院治疗患者。结论:ERAS理念可促进肾肿瘤行腹腔镜肾部分切除术患者快速康复,减少并发症。Objective:To explore the effect of the rapid rehabilitation surgery(ERAS)conceot in patients with renal tumor who underwent laparoscopic partial nephrectomy.Methods:A total of 53 patients with renal tumor who underwent laparoscopic partial nephrectomy during January 1,2017 to June 30,2018 were set as the control group,and were given routine nursing.A total of 58 patients with renal tumor who underwent laparoscopic partial nephrectomy during July 1,2018 to July 31,2020 were set as the observation group,and were given ERAS concept on the basis of routine care.Comparison was made between the two groups on nursing effect.Results:The operation time,length of hospital stay,postoperative catheter time,postoperative ambulation time,postoperative drainage tube time,postoperative defecation time,postoperative time of drinking water for the first time,postoperative eating time wqere shorter in the observation group than those in the control group(P<0.01),and the postoperative complication rate was shorter in the observation group than that in the control group(P<0.05).In postoperative follow-up of 30 d,1 case in the control group was back to the hospital for artery embolization treatment due to postoperative bleeding,the observation group no case returning to hospital.Conclusion:The concept of ERAS can promote the rapid recovery in renal tumor patients with laparoscopic partial nephrectomy and reduce the complications.

关 键 词：腹腔镜肾部分切除术 快速康复外科理念 并发症 

分 类 号：R473.73[医药卫生—护理学]