潘 明,Ming Pan

目的：为患者构建经尿道膀胱癌电切除术患者ERAS（快速康复外科）围术期护理方案，在诊疗中应用于临床护理中，对患者的术后评价其应用效果。方法：选取2020年5月至2021年1月医院泌尿外科经尿道膀胱癌电切除术患者80例，比较两组患者术中患者的出血量、患者的肠鸣音恢复时间、患者的术后首次排气时间、患者的术后首次排便时间、患者的首次下床活动时间、患者的住院天数及总费用、患者的并发症发生率、患者的尿路感染、患者的膀胱痉挛、患者的术后出血等、患者术后出院前、出院后一个月、三个月的生存质量等指标的差异。结果：试验组患者在尿路感染的发生率与对照组相比，P＞0.05，差异无统计学意义。试验组患者在膀胱痉挛和术后出血的发生率与对照组患者相比，P＞0.05，差异有统计学意义。结论：构建的经尿道膀胱癌电切除术患者ERAS围术期护理方案，不仅使患者的身体机能得到恢复，肠胃功能得到保障，更能使患者缩短住院天数，减少患者的经济负担，降低膀胱痉挛，大大降低术后出血的发生率，使患者减轻术后存在的不良状况，保证身体各项机能的优质化恢复，使患者的总体状况得以改善，不但确立了良好的医患关系，更使患者的生存质量得到改善与保障。对患者出院后三个月的社会功能以及患者的情感功能、患者角色功能以及担心状况进行分析。 Objective: To construct the perioperative nursing scheme of ERAS for patients with transurethral resection of bladder cancer (TURB), to apply it to clinical nursing in diagnosis and treatment, and to evaluate its application effect after operation.Methods: From May 2020 to January 2021,80 patients with transurethral resection of bladder cancer were selected to compare the blood loss, the recovery time of bowel sounds, the first postoperative defecation time, the first postoperative defecation time, the first ambulation time, the hospitalization days and total cost, the complication rate, urinary tract infection, bladder spasm, postoperative bleeding, the quality of life before discharge, one month after discharge and three months after discharge.Results: The incidence of urinary tract infection in the test group was significantly higher than that in the control group (P >0.05).The incidence of bladder spasm and postoperative bleeding in the trial group was higher than in the control group,P >0.05, the difference was statistically significant.Conclusion: The perioperative nursing scheme of ERAS for patients with transurethral resection of bladder cancer can not only restore the patient’s physical function and ensure the gastrointestinal function, but also shorten the hospitalization days, reduce the patient’s economic burden, reduce the bladder spasm, greatly reduce the incidence of postoperative bleeding, reduce the postoperative adverse conditions, ensure the high-quality recovery of body functions, improve the overall situation of patients, not only establish a good doctor-patient relationship, but also improve and guarantee the patient’s quality of life.The patient’s social function, emotional function, role function and worry status were analyzed three months after discharge.

ERAS理念；经尿道膀胱癌电切除术；围术期；临床应用 ERAS concept; transurethral resection of bladder cancer; perioperative period; clinical application

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