The effect of operating room nursing based on the ERAS concept on surgical stress and postoperative recovery in patients undergoing laparoscopic radical gastrectomy
基于ERAS理念手术室护理对腹腔镜胃癌根治术患者手术应激和预后康复效果的影响

摘要

目的 细致观察基于加速康复外科（ERAS）理念的手术室护理在腹腔镜胃癌根治术患者中的应用，侧重分析对手术应激、预后康复效果的具体影响。方法 抽选2024年9月至2025年9月间院内收治的96例胃癌根治术患者（腹腔镜）为研究对象，采用回归性归纳法，根据护理方案的不同将其均分两组，参照组（n=48，行常规手术室护理），研究组（n=48，行基于ERAS理念的手术室护理），以手术应激指标、术后康复指标、并发症发生率为观察指标，比对不同护理方案下的效果和差异。结果 研究组采用方案的可实施性更强，患者手术应激反应更低，术后康复指标更理想，并发症发生率更低，呈现6.25％∶25.00％的比例数值。结论 基于ERAS的手术室护理被推荐作为临床护理规划中的首选方案，该方法不仅能有效缓解手术应激反应并缩短恢复时间，还可显著降低并发症发生率，因此值得广泛采用。

Abstract

Objective To meticulously observe the application of operating room nursing based on the Enhanced Recovery After Surgery (ERAS) concept in patients undergoing laparoscopic radical gastrectomy for gastric cancer, with a focus on analyzing its specific impact on surgical stress and postoperative recovery outcomes.
Methods A total of 96 patients (n=48) who underwent laparoscopic radical gastrectomy for gastric cancer between September 2024 and September 2025 were selected as the study subjects. Using regression induction, the patients were evenly divided into two groups according to different nursing protocols: the control group (n=48) received conventional operating room nursing, and the study group (n=48) received ERAS-based operating room nursing. The observation indicators included surgical stress metrics, postoperative recovery metrics, and complication incidence rates.
Results The study group exhibited higher implementability of the protocol, lower surgical stress responses, more favorable postoperative recovery metrics, and a significantly lower complication incidence rate (6.25% vs. 25.00%).
Conclusion   ERAS-based operating room nursing is recommended as the preferred clinical nursing protocol. This method not only effectively alleviates surgical stress responses and shortens recovery time but also significantly reduces complication incidence, making it worthy of widespread adoption.