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| Application of perioperative nursing based on the concept of enhanced recovery after surgery in the postoperative rehabilitation of patients with cervical cancer after radical hysterectomy |
| WAN Changgui TAO Yilei▲ |
| Department of Gynecology and Obstetrics, Third People′ s Hospital of Jiujiang City, Jiangxi Province, Jiujiang 332000, China |
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Abstract Objective To explore the application of perioperative nursing based on the concept of enhanced recovery after surgery (ERAS) in the postoperative rehabilitation of patients with cervical cancer after radical hysterectomy.Methods Sixty-four cervical cancer patients undergoing radical hysterectomy admitted to Third People′s Hospital of Jiujiang City from December 2017 to April 2020 were selected as the research objects, they were divided into control group and experimental group according to random number table method, with 32 cases in each group.The control group received routine nursing intervention, and the experimental group received perioperative nursing intervention based on ERAS concept.The stress response, T lymphocyte levels and postoperative recovery indicators (first exhaust after operation, postoperative ambulation, etc) were compared between the two groups.Results The postoperative ambulation time, first exhaust time, defecation time and postoperative hospital stay in the experimental group were shorter than those in the control group, and the differences were statistically significant (P<0.05).The systolic blood pressure,diastolic blood pressure, mean arterial pressure and heart rate indexes of the experimental group were lower than those of the control group at 10 and 15 minutes after extubation, the differences were statistically significant (P<0.05).The CD3+, CD4+ and CD3+/CD8+ indexes of the experimental group were higher than those of the control group at 1 and 2 d after operation, the differences were statistically significant (P<0.05).The indexes of CD3+, CD4+ and CD3+/CD8+ in the two groups at 1 and 2 d after operation were lower than those at the end of operation, the differences were statistically significant (P<0.05).Conclusion The application of ERAS concept in the perioperative nursing of patients with cervical cancer after radical hysterectomy can reduce postoperative pain and complications, impel patients to recover and return to family and work as soon as possible.
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| [1] |
方维，冯丰坔，程兰芳，等.ERAS 理念的围术期护理方案对腹腔镜肾癌根治术病人应激反应的影响[J].循证护理，2020，6（5）：446-450.
|
| [2] |
高文会，丛丰辉.加速康复外科护理结合中医耳穴压豆对宫颈癌老年患者术后康复的影响[J].中国实用护理杂志，2020，36（12）：905-908.
|
| [3] |
汪莎，陈宏.加速康复外科在宫颈癌根治术中的临床应用[J].实用癌症杂志，2019，34（12）：2062-2065.
|
| [4] |
陆美荣，陈必良，李佳，等.加速康复外科理念对宫颈癌根治术患者应激反应及T 淋巴细胞水平的影响[J].检验医学与临床，2020，17（4）：436-439.
|
| [5] |
中华医学会重症医学分会.重症加强治疗病房病人镇痛和镇静治疗（2006）[J].中国实用外科杂志，2006，（12）：893-901.
|
| [6] |
沈馨，王富兰，赵庆华，等.加速康复外科理念在腹腔镜下宫颈癌根治术中的管理实践及效果评价[J].机器人外科学杂志（中英文），2021，2（1）：53-59.
|
| [7] |
张清连.加速康复外科理念在宫颈癌病人围术期护理中的应用[J].护理研究，2018，32（12）：1933-1934.
|
| [8] |
姜艳辉，江爱宗，王冰.加速康复外科理念对老年远端胃癌根治术后恢复的影响[J].海南医学，2019，30（3）：290-293.
|
| [9] |
郝群，滕慧，胡玉莉，等.加速康复外科理念在根治性子宫切除术患者中的应用研究[J].现代生物医学进展，2019，19（19）：3678-3681.
|
| [10] |
姜晓娟，林丽.探讨快速康复外科理念对宫颈癌围术期患者临床康复及生活质量的影响[J].中国性科学，2019，28（11）：153-156.
|
| [11] |
张振龙，潘小杰，欧德彬.加速康复外科理念在胸腔镜肺癌根治术的应用[J].中国康复医学杂志，2019，34（8）：950-953.
|
| [12] |
姜海涛，熊奇如.加速康复外科理念对原发性肝癌患者精准肝切除术后康复的影响[J].肝胆外科杂志，2018，26（4）：286-288.
|
| [13] |
张舒.ERAS 理念用于TKA 患者围术期康复的价值及对生活质量的影响[J].解放军预防医学杂志，2018，36（11）：1465-1468.
|
| [14] |
于晓霞，李晶明，刘晓彤，等.快速康复外科理念在长期口服阿司匹林甲状腺癌患者围术期的应用效果[J].中国医药，2020，15（5）：737-740.
|
| [15] |
刘艳，马燕玲，谢秀华.加速康复干预对腹腔镜下宫颈癌根治术患者术后恢复及感染的影响[J].癌症进展，2019，17（10）：1233-1236.
|
| [16] |
鲁振华，张鲜芳，张淑林，等.快速康复护理用于宫颈癌围手术期护理的效果观察[J].山西医药杂志，2019，48（15）：1927-1929.
|
| [17] |
张弛远，欧阳玲.加速康复外科理念在宫颈癌根治术中的应用[J].中国微创外科杂志，2019，19（2）：145-148，177.
|
| [18] |
李皓，米卫东.ERAS 理念在围术期医学的应用进展围术期焦虑抑郁与手术预后[J].北京医学，2019，41（8）：629-631.
|
| [19] |
卢吉，吴芬，刘莉，等.基于加速康复外科理念的禁饮食方案在宫颈癌根治术患者中的应用[J].齐鲁护理杂志，2019，25（24）：1-3.
|
| [20] |
何燕，张建友，孙建宏.ERAS 理念指导下围术期液体治疗的研究进展[J].国际外科学杂志，2021，48（1）：67-72.
|
|
|
|
