加速康复外科理念在腹腔镜结直肠手术患者围手术期护理中的应用

摘要

：Objective To explore the application effect of enhanced recovery after surgery(ERAS)concept in the perioperative nursing of patients undergoing laparoscopic colorectal surgery. Methods 〓Twenty-six patients undergoing laparoscopic colorectal surgery from August, 2017 to December, 2017(application of routine nursing in the perioperative period)were collected as traditional group; 22 patients undergoing laparoscopic colorectal surgery from January, 2018 to May, 2018(application of ERAS concept nursing in the perioperative period)were collected as ERAS group. The surgery-related indexes, postoperative tube indwelling and incidence of complications were observed between two groups. Results 〓When compared with traditional group, the first exhaust time, defecation time, time to get out of bed, total hospital stays, time to drink water and take food as well as postoperative indwelling days of gastric tube, urine tube and drainage tube were all improved in ERAS group, and the significant differences were shown(P0.05). There was no statistical significance between two groups regarding the incidence of postoperative complications(P0.05). Conclusion 〓Application of ERAS concept in the perioperative nursing of patients undergoing laparoscopic colorectal surgery can shorten hospital stays and accelerate the postoperative rehabilitation, without the increase of postoperative complications.