Effects of ERAS concept in extubation and rehabilitation after pancreaticoduodenectomy
Objective To observe the application effect of Accelerated Rehabilitation Surgery(ERAS)concept in extubation after pancreaticoduodenectomy and its impact on the rehabilitation process of patients.Methods 123 patients who underwent pancreaticoduodenectomy were selected and divided into 2 groups,using a random number table method.The control group were received routine management,while the intervention group were implemented clinical management based on the ERAS concept.The postoperative extubation status,improvement of gastrointestinal function,nutritional status,postoperative recovery process,and incidence of related complications were compared between the two groups of patients.Results Under different clinical management modes,the intervention group had lower gastric tube removal time,drainage tube removal time,incidence of adverse events after tube removal,and reintubation rate than the control group,showing a statistically significant difference(P<0.05).The levels of gastrin(GAS),motilin(MLT),total serum protein(TP),serum albumin(ALB),and serum transferrin(TRF)in the intervention group were higher than in the control group(P<0.05).The anal exhaust time,first bowel movement time,autonomous eating time,and hospital stay in the intervention group were lower than in the control group(P<0.05).The incidence of related complications in the intervention group was lower than that in the control group(P<0.05).Conclusion Based on the ERAS concept,implementing clinical management for patients undergoing pancreaticoduodenectomy can improve their postoperative extubation status,reduce adverse events of extubation and the risk of re intubation,promote the recovery of gastrointestinal function and nutritional status,accelerate the postoperative recovery process,and reduce the risk of complications.
pancreaticoduodenectomyaccelerate rehabilitation surgerypostoperative extubationgastrointestinal functionrehabilitation process
万方数据
维普
