Application and management of ERAS in the perioperative period of ENT
ERAS在耳鼻喉科围手术期的应用管理

摘要

目的：探析耳鼻喉科围手术期应用管理中加速康复外科理念（ERAS）的应用及效果。方法：本研究开始时间为2019年9月，结束时间为2020年9月，研究期间选择在我院耳鼻喉科接受全麻手术治疗的患者共计240例作为主要分析对象，为了分析ERAS的应用效果，本研究使用对比的方法，将所有患者分到两组，分别命名为对照组和观察组，每组依据1：1的比例分得120例患者，其中对照组患者接受常规护理模式，观察组患者则接受ERAS护理模式。不同护理模式下对两组患者的临床状况进行观察和分析，并记录该过程中产生的各种数据，主要包括：住院天数、平均住院费用等数据，同时将记录后的数据进行比较。结果：对照组患者接受管理后患者的住院天数为（9.08±8.21）d、平均住院费用为（14234±386）元相对于观察组（6.17±5.18）d、（10019±112）元较高，相比之下存在明显差异和统计学意义（P＜0.05）。结论：在耳鼻喉科围手术期的应用管理中使用ERAS护理，能够有效地改善患者的临床状态，同时还能够减少患者的住院时间和费用，对患者的康复有着积极作用，值得临床中大力推广和应用。

Abstract

Objective: To explore the application and effect of the accelerated rehabilitation surgery concept (ERAS) in the perioperative management of otolaryngology.
Methods: The study started in September 2019 and ended in September 2020. During the study, 240 patients who underwent surgery in our hospital’s otolaryngology department were selected as the main analysis objects. In order to divide the application effect of ERAS, This study used the method of comparison to divide all patients into two groups, named the control group and the observation group. Each group was divided into 120 patients according to a ratio of 1:1. The patients in the control group received conventional care and the patients in the observation group Receive ERAS care. Observe and analyze the clinical conditions of the two groups of patients under different nursing modes, and record various data generated during the process, including data such as length of stay in hospital, average hospitalization expenses, etc., and compare the recorded data.
Results: After the management of the control group, the number of days of hospitalization was (9.08±8.21) d, and the average hospitalization cost was (14234±386) yuan, compared with the observation group (6.17±5.18) d and (10019±112) yuan. In contrast, there are significant differences and statistical significance (P<0.05).
Conclusion  : The use of ERAS nursing in the perioperative management of otolaryngology can effectively improve the clinical status of patients, and at the same time can reduce the patient’s hospitalization time and expenses. It has a positive effect on the rehabilitation of patients and is worthy of clinical promotion. And application.