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| Application of enhanced recovery after sugery in perioperative period of colorectal cancer patients JIANG Wen-juan, XIA Jing, MA Xia |
| Department of the Emergency, the People's Hospital of Taizhou, Taizhou 225300, China |
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Abstract Objective To investigate the significance of applying the principle of enhanced recovery after sugery to the patients undergoing colorectal surgery in the perioperative period. Methods From August 2015 to March 2017 in our hospital 64 cases of patients with colorectal cancer were divided into observation group and control group, and accelerated rehabilitation and routine treatment were given respectively. The observation group underwent psychological guidance before operation, and the patients with malnutrition were given enteral nutrition therapy. Solid diet were forbidden for 6 hours before surgery, 12.5% maltodextrin fructose drink was given orally under the guidance of a professional nurse 2 hours before surgery; insulation measures were given during operation; multi-mode analgesia, and early feeding was encouraged after surgery, etc. The control group received conventional treatment, and compared the rehabilitation effects of the two groups. Results The initial exhaust time of the observation group was (1.99±0.40) days, the frist feeding time was (5.16±0.41) hours, the defecation time was (2.86±0.37) days, and the postoperative hospital stay was (5.73±0.82) days, the overall complication rate was 3.13%; the initial exhaust time of the control group was (3.08±0.40) days, the frist feeding time (11.28±0.66) hours, the defecation time (3.92±0.55) days, and the postoperative hospital stay (8.50±1.25) days, the incidence of postoperative complications was 18.75%, and the difference was statistically significant (P<0.05). Conclusion It is clinically feasible to apply the principle of enhanced recovery after sugery to the nursing care of the colorectal surgery patients because it can significantly release pains, reduce complication rate, shorten hospital stay and accelerate the recovery after surgery.
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2018, Vol. 5 
