摘要
目的探究加速康复外科理念(ERAS)结合临床护理路径在胰腺癌术后患者中的应用效果。方法选择接受手术治疗的60例胰腺癌患者作为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,每组30例,对照组实施临床护理路径干预,观察组在临床护理路径中融入ERAS,比较两组术前1 d、术后5 d的营养状况、免疫功能的变化情况,并统计两组的并发症发生率。结果两组术前1 d转铁蛋白(TRE)、前清蛋白(PAB)、白蛋白(ALB)比较差异无统计学意义(P>0.05);术后5 d,观察组TRE、PAB、ALB均高于对照组,差异有统计学意义(P<0.05)。两组术前1 d免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)比较差异无统计学意义(P>0.05);术后5 d,观察组IgA、IgG、IgM均高于对照组,差异有统计学意义(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)。结论采用ERAS结合临床护理路径对胰腺癌患者进行干预,可有效改善其营养状况,减轻手术对机体免疫功能的影响,并可降低术后并发症的发生率。
Objective To explore the application effect of enhanced recovery after surgery(ERAS)concept combined with clinical nursing pathway in postoperative patients with pancreatic cancer.Methods To select 60 patients with pancreatic cancer who received surgical treatment as the study objects,and they were divided into an observation group and a control group according to the principle of comparability of basic characteristics between groups,with 30 cases in each group.The control group was given clinical nursing pathway intervention,and the observation group was integrated with ERAS in the clinical nursing pathway.The nutritional status and immune function of the two groups were compared 1 day before and 5 days after the operation,and the incidence of complications in the two groups was calculated.Results There was no significant difference in transferrin(TRE),prealbumin(PAB)and albumin(ALB)between the two groups 1 day before operation(P>0.05);5 days after operation,TRE,PAB,and ALB in the observation group were higher than those in the control group,and the diff erences were statistically signifi cant(P<0.05).There was no signifi cant diff erence in immunoglobulin A(IgA),immunoglobulin G(IgG)and immunoglobulin M(IgM)between the two groups at 1 day before surgery(P>0.05).Five days after operation,the IgA,IgG and IgM in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05);the incidence of postoperative complications in the observation group was lower than that in the control group,and the difference was statistically signifi cant(P<0.05).Conclusion The application of ERAS combined with clinical nursing pathways to intervene in patients with pancreatic cancer can effectively improve their nutritional status,reduce the impact of surgery on the immune function of the body,and reduce the incidence of postoperative complications.
作者
黄品芳
林敏
刘靖
沈景亮
HUANG Pinfang;LIN Min;LIU Jing;SHEN Jingliang(The 73rd Group Army Hospital of the Army,Xiamen,361001,China)
出处
《护理实践与研究》
2022年第4期588-592,共5页
Nursing Practice and Research
关键词
加速康复外科理念
临床护理路径
胰腺癌
并发症
免疫功能
营养状况
Enhanced recovery after surgery
Clinical nursing pathway
Pancreatic cancer
Complications
Immune function
Nutritional status
