Open Access Article
International Journal of Nursing Research. 2026; 8: (9) ; 99-101 ; DOI: 10.12208/j.ijnr.20260472.
Practical research on evidence-based optimization management of perioperative pain and nausea/vomiting (PONV) in biliary ERAS
基于循证的围术期疼痛与恶心呕吐（PONV）优化管理在胆道ERAS中的实践研究
作者：
任瑞,
王占琴,
刘红艳,
张咪,
张秋元 *
西交大一附院榆林医院 陕西榆林
*通讯作者：
张秋元,单位：西交大一附院榆林医院 陕西榆林 ；
发布时间: 2026-09-30 总浏览量: 23 下载量: 加载中...
PDF 全文下载
引用本文
摘要
目的 探究在胆道手术加速康复外科（ERAS）中，采用基于循证的围术期疼痛与恶心呕吐（PONV）优化管理的效果。方法 选取本院胆道手术患者60例，时间为2025年6月-2026年6月，进行随机分组，对照组30例，采用常规护理，观察组30例，采用基于循证的围术期疼痛与PONV优化管理，对比两组患者护理效果。结果 观察组术后疼痛情况、PONV发生率及康复指标，均优于对照组，差异有统计学意义（P＜0.05）。结论 基于循证的围术期疼痛与PONV优化管理方案可有效减轻胆道手术患者术后疼痛，降低PONV发生率，加速术后康复，值得推广。
关键词： 胆道手术；ERAS；循证；围术期疼痛；PONV
Abstract
Objective To explore the effect of using evidence-based perioperative pain and nausea/vomiting (PONV) optimization management in biliary ERAS. Methods 60 patients undergoing biliary surgery in our hospital from June 2025 to June 2026 were selected and randomly divided into two groups. The control group included 30 patients who received routine care, while the observation group included 30 patients who received evidence-based perioperative pain and PONV optimization management. The nursing effects of the two groups were compared. Results The postoperative pain condition, PONV incidence rate, and rehabilitation indicators of the observation group were all better than those of the control group, and the differences were statistically significant (P < 0.05). Conclusion The evidence-based perioperative pain and PONV optimization management plan can effectively alleviate postoperative pain in biliary surgery patients, reduce the incidence of PONV, and accelerate postoperative recovery. It is worthy of promotion.
Key words： Biliary surgery; ERAS; Evidence-based; Perioperative pain; PONV
参考文献 References
[1] 毛婷婷,胡启辉.ERAS理念应用于ERCP治疗胆道系统疾病疗效的Meta分析[J].当代护士(下旬刊),2025,32(8):27-32.
[2] 李玉莲,李玉辉,莫伟,等.基于循证构建经皮肝穿刺胆道引流术术后患者出院准备服务方案[J].介入放射学杂志,2025,34(3):316-321.
[3] 张小丹,翁林舒,吴蓓蕾,等.加速康复外科理念护理在老年患者胆道术后谵妄及认知功能障碍中的应用效果[J].中国医药导报,2023,20(31):180-184.
[4] 马春燕,朱怡琦,薛磊.围术期护理在腹腔镜下胆总管切开取石一期缝合手术中的应用效果[J].吉林医学,2023,44(8):2365-2367.
[5] 中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志,2018,38(1):1-20.
[6] 刘雨薇,许瑞华,安晶晶,等.胆道外科患者核心体温围术期全流程智能监测系统的构建与应用[J].护理学杂志,2023,38(10):99-102+111.
[7] 朱晓瑜,张磊,吴燕.PDCA模式指导下的临床护理路径在胆总管结石围术期护理中的应用[J].当代护士(中旬刊),2023,30(4):80-83.
[8] 沈赟,赵懿,姚喆,等.肝移植术后胆道狭窄患者行内镜逆行胰胆管造影术的围术期护理[J].微创医学,2023,18(2):265-267.
引用本文
任瑞, 王占琴, 刘红艳, 张咪, 张秋元, 基于循证的围术期疼痛与恶心呕吐（PONV）优化管理在胆道ERAS中的实践研究[J]. 国际护理学研究, 2026; 8: (9) : 99-101.