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基于加速外科康复理念的手术室护理对腹腔镜手术患者应激反应的影响

周炜炜 张轩畅

中国当代医药2025,Vol.32Issue(4):183-187,5.
中国当代医药2025,Vol.32Issue(4):183-187,5.DOI:10.3969/j.issn.1674-4721.2025.04.41

基于加速外科康复理念的手术室护理对腹腔镜手术患者应激反应的影响

Impact of operating room nursing based on the concept of enhanced re-covery after surgery on the stress response in patients undergoing laparo-scopic surgery

周炜炜 1张轩畅2

作者信息

  • 1. 福建省晋江市医院上海市第六人民医院福建医院手术室,福建晋江 362200
  • 2. 上海市第六人民医院手术室,上海 200233
  • 折叠

摘要

Abstract

Objective To explore the effect of operating room nursing based on the concept of enhanced recovery after surgery(ERAS)on stress response in patients undergoing laparoscopic surgery.Methods A total of 98 patients with laparo-scopic colorectal cancer in Jinjiang Hospital from January 2021 to January 2024 were selected as the research objects,and they were divided into study group and control group according to random number table method,with 49 cases in each group.The control group received conventional operating room nursing,and the study group received ERAS operating room nursing.The general conditions and stress response indexes during and after operation were compared between the two groups.Results The time of getting out of bed,the time of anal exhaust,the time of eating for the first time,the time of uri-nary catheter extraction,the time of intravenous infusion and the time of hospitalization in the study group were shorter than those in the control group,and the pain score and the incidence of postoperative complications on the first day after surgery were lower than those in the control group,with statistical significances(P<0.05).The levels of cortisol(COR),adrenocorti-cotropic hormone(ACTH)and epinephrine(EPI)in the study group were lower than those in the control group,and the dif-ferences were statistically significant(P<0.05).Conclusion Operating room nursing based on ERAS can effectively im-prove the postoperative recovery of patients with colorectal cancer laparoscopic surgery and reduce the stress response of pa-tients,which is worthy of promotion.

关键词

腹腔镜手术/结直肠癌/加速外科康复/手术室护理/应激反应

Key words

Laparoscopic surgery/Colorectal cancer/Enhanced recovery after surgery/Operating room nursing/Stress re-sponse

分类

医药卫生

引用本文复制引用

周炜炜,张轩畅..基于加速外科康复理念的手术室护理对腹腔镜手术患者应激反应的影响[J].中国当代医药,2025,32(4):183-187,5.

中国当代医药

1674-4721

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