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龚玉萍,刘玉静,俞静娴.加速康复外科在结直肠癌术后肝转移灶切除患者中的应用[J].上海护理,2019,19(S1):
加速康复外科在结直肠癌术后肝转移灶切除患者中的应用
GONG Yu-ping, LIU Yu-jing, YU Jing-xian
DOI：
中文关键词:  加速康复外科  结直肠癌肝转移  围手术期管理  护理
英文关键词:ERAS  Metastasis hepatic cancer  Perioperative management  Nursing.
基金项目:
作者单位E-mail
龚玉萍 复旦大学附属中山医院 2452379082@qq.com 
刘玉静 复旦大学附属中山医院  
俞静娴* 复旦大学附属中山医院 yu.jingxian@zs-hospital.sh.cn 
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中文摘要:
      目的 探讨加速康复外科(ERAS)在结直肠癌术后肝转移灶行手术治疗围手术期的可行性及有效性。方法 选取2017年12月至2018年5月在我院我科实施的结直肠癌术后肝转移灶切除手术患者52例,其中23例实 ERAS管理(实验组),29例进行传统管理(对照组)。比较两组患者术后恢复及患者满意度情况。结果 相比较于对照组,ERAS组患者的术后通气时间、术后进食时间、首次下床活动时间、尿管留置时间、住院时间明显改善。两组的术后疼痛评分均逐渐下降,相比较对照组,加速康复组的疼痛评分较优,其患者满意度显著提高。此外,对于患者术后并发症,两组相比无统计学差异。结论 对于结直肠癌术后肝转移的患者行手术治疗,ERAS可显著提高患者满意度,促进患者术后康复。
英文摘要:
      Objective: To investigate the feasibility and effectiveness of enhanced recovery after surgery (ERAS) in perioperative management in patients with metastasis hepatic cancer following colorectal cancer excision undergoing hepatic surgery. Method: A total of 52 patients with metastasis hepatic cancer following colorectal cancer excision were included in the present study between Oct 2017 and May 2018, in which 29 patients were assigned into control group and 23 patients were assigned into ERAS group. The perioperative parameters and patients’ satisfaction were compared in the both groups. Result: Compared with control group, ERAS showed a shorter postoperative ventilation time, the ambulation time, urine tube indwelling time, and hospitalization time. ERAS was associated with lower postoperative pain score and higher patients’ satisfaction compared with control group. In addition, for postoperative complications, no statistical differences were observed between both groups. Conclusion: for patients with metastasis hepatic cancer following colorectal cancer surgery, ERAS can significantly improve patients’ satisfaction, and promote postoperative rehabilitation.
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主管单位：上海市卫生健康委员会   主办单位：上海市护理学会  出版：《上海护理》编辑部
国内标准连续出版物号：31-1846/R    国际标准出版物号：1009-8399   国内邮发代号：4-766
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