Abstract: Objective To explore the clinical value of enhanced recovery after surgery nuring in right hepatectomy. Methods Analysis from August 2017 to August 2019 were right liver resection in our hospital clinical data of 53 patients, according to different perioperative treatment methods, they were divided into the ERAS group and the control group. Preoperative and intraoperative clinical data were compared between the two groups, as well as postoperative hospital stay, anal exhaust recovery time, total hospitalization costs, complications, postoperative recovery quality and CRP. Results The preoperative clinical data of the two groups of patients were comparable without statistically significant difference. There was no significant difference between the two groups in terms of operation time and intraoperative blood loss. There were significant differences between the two groups in terms of anal recovery and exhaust time, postoperative hospitalization time, total hospitalization cost and complications （t=3.728, 9.599, 5.666, χ²=3.865, P values <0.05）. The ERAS group had a higher recovery quality score after surgery than the control group （P<0.05）, and the similar value in the ERAS group had lower values than the latter in terms of CRP （P<0.05）. Conclusion In the perioperative period of right hepatectomy, the accelerated rehabilitation surgery mode can effectively shorten the length of hospital stay, reduce hospitalization costs, postoperative complications and postoperative traumatic stress response, thus promoting rapid recovery of patients.

Key words: right hepatectomy, enhanced recovery after surgery, perioperative period

摘要： 目的 探讨快速康复外科（ERAS）模式应用于右半肝切除围手术期的临床价值。方法 分析2017年08月~2019年08月于我院进行右半肝切除术的53例患者临床资料,按围手术期的处理方法不同分为快速康复组（ERAS组）和传统对照组（对照组）。比较两组患者术前、术中的基本资料,及术后住院时间、肛门恢复排气时间、住院总费用、并发症、术后恢复质量（15项恢复质量评分量表,QoR-15）及C反应蛋白（CRP）等方面,评价其临床价值。结果 两组患者术前基本资料无统计学意义,具有可比性（P>0.05）;在手术时间、术中出血量方面两组比较无统计学差异（P>0.05）;两组患者在术后肛门恢复排气时间、住院时间、住院总费用、并发症方面比较差异有统计学意义（P均<0.05）;ERAS组在术后恢复质量评分高于对照组（P<0.05）,而在CRP方面ERAS组数值低于后者（P<0.05）。结论 在右半肝切除的围手术期应用加速康复外科模式能够有效地缩短住院时间,降低住院费用、术后并发症及术后创伤应激反应,从而促进患者的快速康复。

关键词: 围手术期, 快速康复外科, 右半肝切除术