肝胆外科手术全麻患者围手术期应用加速康复外科护理的效果观察  

Observation on the Effect of Enhanced Recovery After Surgery in Patients Undergoing Hepatobiliary Surgery Under General Anesthesia During Perioperative Period

作　　者：刘莹 艾青 刘晨晨 孙巍 LIU Ying;AI Qing;LIU Chenchen;SUN Wei(Department of Anesthesiology,Zhumadian Central Hospital,Zhumadian 463000,Henan,China)

机构地区：[1]驻马店市中心医院麻醉科,河南驻马店463000

出　　处：《中国药物滥用防治杂志》2025年第1期178-181,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省科技发展计划项目(编号:242102310119)。

摘　　要：目的:探讨加速康复外科(ERAS)护理在丙泊酚全麻患者围手术期中的应用效果。方法:选择2022年3月—2024年3月我院收治的103例肝胆外科手术患者作为研究对象,按照入院先后顺序分为对照组(51例)和观察组(52例)。两组均行丙泊酚全麻手术治疗,对照组在围术期接受常规护理措施,观察组实施ERAS护理干预。比较两组术后恢复情况、炎性因子、应激指标水平及并发症发生率。结果:干预后,观察组术后下床活动时间、补液总量、术后肛门排气时间、术后进食时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组术后2 d炎性因子及应激指标水平改善情况优于对照组(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:ERAS护理可促进丙泊酚全麻患者术后康复,减轻炎症与应激反应,降低并发症发生率。Objective:To explore the application effect of enhanced recovery after surgery(ERAS)nursing in perioperative period of patients with propofol general anesthesia.Methods:A total of 103 patients with hepatobiliary surgery admitted to our hospital from March 2022 to March 2024 were selected as the research objects.According to the order of admission,they were divided into control group(51 patients)and observation group(52 patients).Both groups were treated with propofol general anesthesia.The control group received routine nursing measures during the perioperative period,and the observation group received ERAS nursing intervention.The postoperative recovery,inflammatory factors,stress index levels and incidence of complications were compared between the two groups.Results:After intervention,the time of getting out of bed,the total amount of fluid infusion,the time of anal exhaust after operation,the time of eating after operation and the time of hospitalization in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).The improvement of inflammatory factors and stress indexes in the observation group was better than that in the control group at 2 days after operation(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:ERAS nursing can promote postoperative rehabilitation of patients with propofol general anesthesia,reduce inflammation and stress response,and reduce the incidence of complications.

关 键 词：加速康复外科(ERAS) 肝胆外科手术 丙泊酚全麻 围手术期 

分 类 号：R47[医药卫生—护理学]