基于加速康复外科理念下腹腔镜胆囊切除围手术期饮食护理方案的应用效果

doi:10.20047/j.issn1673-7210.2022.26.32

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Abstract Objective To explore application effect of perioperative dietary nursing program in laparoscopic cholecystectomy based on the concept of enhanced recovery after surgery (ERAS). Methods A total of 80 patients who underwent laparoscopic cholecystectomy in Xuancheng People’s Hospital of Anhui Province from May 2019 to May 2021 were selected. According to the random number table method, they were divided into control group and experimental group, with 40 cases in each group. The control group received routine diet nursing during perioperative period, and the experiment adopted perioperative diet nursing program guided by ERAS concept, Including preoperative diet education, nutritional assessment, diet management, and early postoperative diet. The incidence of perioperative related discomfort was compared between the two groups. The postoperative recovery was recorded. Results The incidence of perioperative nausea, vomiting, abdominal distension, and hypoglycemia in the experimental group were lower than those in the control group, and the differences were statistically significant (P ＜ 0.05); the first time out of bed, recovery of bowel sounds, time of anal exhaust, and first defecation, and hospital stay in the experimental group were shorter than those in the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion For patients undergoing laparoscopic cholecystectomy, the perioperative dietary nursing plan based on ERAS concept can effectively reduce the occurrence of postoperative nausea, vomiting, abdominal distension, hypoglycemia and other uncomfortable symptoms, without increasing the risk of intraoperative reflux and aspiration, and can promote the recovery of patients and shorten the length of hospital stay.

Key words： Enhanced recovery after surgery Laparoscopic cholecystectomy Diet nursing plan Nausea Vomiting

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	LI Hui CHEN Xiaoling WANG Xin

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LI Hui CHEN Xiaoling WANG Xin. Application effect of perioperative dietary nursing program in laparoscopic cholecystectomy based on the concept of enhanced recovery after surgery[J]. 中国医药导报, 2022, 19(26): 142-145,154.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.26.32 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I26/142

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