Safety evaluation of early exercise out of bed in patients with partial hepatectomy
10.3760/cma.j.issn.1672-7088.2019.17.006
- VernacularTitle: 肝部分切除术患者早期下床活动的安全性评价
- Author:
Haiwei LIU
1
;
Xiaoqin LYU
;
Xihuan ZHOU
;
Dongdong JI
;
Qiang WEI
;
Yingying SUN
;
Chunjian WANG
Author Information
1. Hepatobiliary Surgery, Binzhou Medical University Hospital, Binzhou 256603, China
- Publication Type:Clinical Trail
- Keywords:
Nursing care;
Partial liver resection;
Early activities;
Enhanced recovery after surgery;
Security
- From:
Chinese Journal of Practical Nursing
2019;35(17):1303-1306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To confirm early (6 hours) exercise in patients with partial hepatectomy is safe and feasible.
Methods:The control group included 211 patients who qualified for partial liver resection before the accelerated rehabilitation surgery (ERAS), 218 patients with partial hepatectomy who met the entry criteria after the implementation of ERAS were taken as test group, get out of bed 24 hours after routine mission in control group, activity of 6 hours after operation in ERAS group. To observe the time of getting out of bed and the incidence of postoperative complications in 2 groups.
Results:Comparison with control group, early exercise time of patients in ERAS group after surgery. The incidence of postoperative complications decreased was 14.3% (31/218) while 34.6%(73/211) of the control group. The difference was statistically significant (χ2=299.3, 18.270, P < 0.01). And did not increase the risk of falls, incision pain, postoperative bleeding.
Conclusion:Liver partial resection is safe and effective for patients with 6 hours post-operative exercise, worth clinical application.
