Application of ERAS nutrition concept in perioperative nursing of cervical lymph node tuberculosis
ERAS营养理念在颈淋巴结结核围手术期中护理的应用

摘要

目的 针对颈淋巴结结核患者的围术期护理方式进行研究，讨论加速康复外科（ERAS）营养理念的应用效果。方法 纳入2023年3月-2024年3月间我院手术治疗的颈淋巴结结核患者作为研究对象，共计80例，经随机分组等分两组，50%患者给予常规手术护理并纳入参照组，剩余患者给予围术期ERAS营养理念干预并纳入研究组，统计比较护理前后患者营养指标、术后康复相关指标、患者营养风险发生率，获取两组护理后康复效果判定护理价值。结果 两组数据对比，ESR、HGB、ALB，护理后，ESR、ALB指标研究组对比对照组有差异性（P＜0.05）；护理后，HGB指标研究组对比对照组无差异性（P＞0.05）；术中出血量、术后排气时间、术后排便时间指标两组对比差异明显（P＜0.05）；住院时间对比数据无差异性（P＞0.05）；患者营养风险发生率术后两组对比差异明显（P＜0.05）；结论 经研究分析，ERAS营养理念应用于颈淋巴结结核患者围术期护理中，有助于优化患者营养指标，减少营养风险，加速患者术后肠道功能恢复，减少并发症发生，尽早康复，缩短住院时间，应用效果理想，具有广泛应用价值。

Abstract

Objective To study the perioperative nursing methods for patients with cervical lymph node tuberculosis and discuss the application effect of the nutritional concept of Accelerated Rehabilitation Surgery (ERAS).
Methods A total of 80 patients with cervical lymph node tuberculosis who underwent surgical treatment in our hospital from March 2023 to March 2024 were included as the study subjects. They were randomly divided into two groups, with 50% of patients receiving routine surgical care and included in the reference group, and the remaining patients receiving perioperative ERAS nutrition concept intervention and included in the study group. The nutritional indicators of patients before and after nursing, postoperative rehabilitation related indicators, and the incidence of nutritional risk were statistically compared, Obtain two sets of nursing interventions to determine the rehabilitation effect and nursing value.
Results Two sets of data were compared, including ESR, HGB, and ALB. After nursing, there was a significant difference in ESR and ALB indicators between the study group and the control group (P<0.05); After nursing, there was no significant difference in HGB indicators between the study group and the control group (P>0.05); There was a significant difference (P<0.05) in the indicators of intraoperative bleeding, postoperative exhaust time, and postoperative defecation time between the two groups; There was no significant difference in the comparison of hospitalization time data (P>0.05); There was a significant difference in the incidence of nutritional risk between the two groups after surgery (P<0.05);
Conclusion   Through research and analysis, the application of ERAS nutritional concept in perioperative care of patients with cervical lymph node tuberculosis can help optimize patient nutritional indicators, reduce nutritional risks, accelerate postoperative intestinal function recovery, reduce complications, recover early, shorten hospital stay, achieve ideal application effects, and have broad application value.