Application of early enteral nutrition nursing based on enhanced recovery after surgery theory in patients with digestive surgery  

作　　者：Yan-Ru Shao Xia Ke Li-Hua Luo Jin-Dong Xu Li-Qian Xu 

机构地区：[1]Department of Anesthesiology,Guangdong Provincial People’s Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510062,Guangdong Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2023年第9期1910-1918,共9页世界胃肠外科杂志（英文版）（电子版）

摘　　要：BACKGROUND Postoperative nursing can improve the restlessness and gastrointestinal function of patients with tracheal intubation under general anesthesia in digestive surgery.Wide application of various nursing methods and routine nursing in periop-erative nursing of patients with general anesthesia in digestive surgery.AIM To investigate the impact of early postoperative enteral nutrition nursing based on the enhanced recovery after surgery(ERAS)theory on postoperative agitation and gastrointestinal recovery in patients undergoing general anesthesia that experienced tracheal intubation.METHODS The data of 126 patients with digestive surgery from May 2019 to February 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,with 63 cases in observation group and 63 cases in control group.The patients in the control group had standard perioperative nursing care,whereas those in the observation group got enteral nourishment as soon as possible after surgery in accordance with ERAS theory.Both the rate and quality of gastrointestinal function recovery were compared between the two groups after treatment ended.Postoperative anes-thesia-related adverse events were tallied,patients'nutritional statuses were monitored,and the Riker sedation and agitation score(SAS)was used to measure the incidence of agitation.RESULTS When compared to the control group,the awake duration,spontaneous breathing recovery time,extubation time and postoperative eye-opening time were all considerably shorter(P<0.05).There was no significant difference in the recovery time of orientation force between the two groups(P>0.05);however,the observation group had a lower SAS score than the control group(P<0.05).The recovery time for normal intestinal sounds,the time it took to have the first postoperative exhaust,the time it took to have the first postoperative defecation,and the time it took to have the first postoperative half-fluid feeding were all faster in the observatio

关 键 词：Enhanced recovery after surgery Extremely early postoperative enteral nutrition nursing Gastrointestinal surgery Tracheal intubation under general anesthesia Agitation during recovery Recovery of gastrointestinal function 

分 类 号：R656[医药卫生—外科学]