快速康复在结直肠手术中的应用

Progress in research of enhanced recovery after surgery and surgery related differences

Enhanced recovery after surgery (ERAS) refers to the use of standardized, multimodal perioperative strategies to reduce physiological stress and organ dysfunction caused by surgery. Since the ERAS concept was put forward, it has been widely respected in the surgical field. Its benefits in the surgical field for the vast majority of patients, medical staff and healthcare systems are obvious. However, for some specific people undergoing surgery, the benefits are not certain, which is the so-called surgery-related differences. This article analyzes recent studies of different surgical fields related to surgical-related differences in different ethnic groups, reviews a large number of positive effects of the implementation of ERAS on surgical-related differences, and elaborates its possible mechanism. It is finally concluded that ERAS, a standardized model for resolving surgical-related differences, should become the gold standard for surgical perioperative management.

Application and effect of accelerated rehabilitation surgical care in perioperative nursing in digestive system tumors

AIM: To assess the application value of accelerated rehabilitation surgical care in the perioperative nursing of patients with gastrointestinal tumors.

METHODS: Eighty gastrointestinal cancer patients who were treated at Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University from March 2012 to March 2014 were randomly divided into either a study group or a control group, with 40 cases in each group. The control group was given routine perioperative care, while the study group was given perioperative accelerated rehabilitation care. Postoperative recovery and adverse events were compared between the two groups.

RESULTS: Postoperative ventilation time, time to liquid diet, time to ambulation and hospital stay were significantly shorter in the study group than in the control group (P < 0.05). The incidence of adverse reactions in the study group was significantly lower than that in the control group (P < 0.05).

CONCLUSION: Accelerated rehabilitation surgical care has high value in the perioperative nursing of patients with gastrointestinal tumors.