Research on the application effect of the concept of enhanced recovery after surgery in the perioperative nursing of patients undergoing laparoscopic cholecystectomy
快速康复外科理念在腹腔镜胆囊切除术患者围手术期护理中的应用效果研究

摘要

目的 探究腹腔镜胆囊切除术护理用快速康复外科理念的作用。方法 随机均分2024年6月-2025年6月本院接诊腹腔镜胆囊切除术病人（N=76）。试验组采取快速康复外科护理，对照组行常规护理。对比VAS评分等指标。结果 关于首次下床活动、首次肛门排气及住院时间：试验组（6.23±1.04）h、（15.92±3.71）h、（4.65±0.78）d，对照组（9.82±1.51）h、（19.63±2.11）h、（5.76±1.04）d，差异显著（P＜0.05）。并发症：试验组2.63%，对照组15.79%，P＜0.05。VAS评分：干预后，试验组（1.74±0.37）分，对照组（2.99±0.51）分，差异显著（P＜0.05）。结论 腹腔镜胆囊切除术病人用快速康复外科护理，其康复情况、并发症预防及疼痛缓解情况均十分显著。

Abstract

Objective To explore the role of the concept of rapid recovery surgery in the nursing of laparoscopic cholecystectomy.
Methods Randomly divide patients who underwent laparoscopic cholecystectomy at our hospital from June 2024 to June 2025 (N=76). The experimental group received rapid recovery surgical care, while the control group received routine care. Compare indicators such as VAS scores.
Results Regarding the first out of bed activity, first anal exhaust, and hospitalization time, the experimental group had (6.23 ± 1.04) h, (15.92 ± 3.71) h, and (4.65 ± 0.78) d, while the control group had (9.82 ± 1.51) h, (19.63 ± 2.11) h, and (5.76 ± 1.04) d, with significant differences (P<0.05). Complications: 2.63% in the experimental group and 15.79% in the control group, P＜0.05. VAS score: After intervention, the experimental group scored (1.74 ± 0.37) points, while the control group scored (2.99 ± 0.51) points, with a significant difference (P<0.05).
Conclusion   Patients undergoing laparoscopic cholecystectomy can benefit significantly from rapid recovery surgical care in terms of rehabilitation, prevention of complications, and pain relief.