Study on perioperative ERAS nursing of patients with cholecystolithiasis complicated with acute cholecystitis by dialectical feeding nursing
辨证施食护理在胆囊结石合并急性胆囊炎患者围术期ERAS护理的研究

摘要

目的 探究在胆囊结石合并急性胆囊炎患者围术期ERAS护理中联合辩证施食护理的实际价值；方法 以前瞻性研究选取2023年1月至2024年10月在我院接受手术治疗的80例胆囊结石并急性胆囊炎患者，以电子数字抽签法分组，观察组与对照组各40例。对照组采用围术期ERAS护理，观察组联合辩证施食护理，比较两组的康复指标等；结果 观察组各项康复指标均显优（P<0.05）。观察组术后并发症发生率更低、生活质量评分更高（P<0.05）；结论 在围术期ERAS护理基础上联合辩证施食护理，能够有效加速胆囊结石合并急性胆囊炎患者术后康复，并遏制术后不良反应，改善预后生活质量，应用价值良好。

Abstract

Objective To explore the practical value of combined dialectical feeding nursing in perioperative ERAS nursing of patients with cholecystolithiasis complicated with acute cholecystitis.
Methods A prospective study was conducted to select 80 patients with gallstones complicated with acute cholecystitis who underwent surgical treatment in our hospital from January 2023 to October 2024, and they were divided into two groups by electronic digital lottery, with 40 cases in the observation group and 40 cases in the control group. The control group was given perioperative ERAS nursing, while the observation group was given dialectical food nursing, and the rehabilitation indexes of the two groups were compared.
Results All the rehabilitation indexes in the observation group were excellent (P<0.05). The incidence of postoperative complications was lower and the quality of life score was higher in the observation group (P < 0.05).
Conclusion   The combination of perioperative ERAS nursing and dialectical food nursing can effectively accelerate the postoperative rehabilitation of patients with cholecystolithiasis complicated with acute cholecystitis, curb postoperative adverse reactions, improve the quality of life, and has good application value.