关键词: 右半肝切除术, ERAS, 腹腔镜, 护理效果

Abstract: ［Abstract］ Objective To investigate the nursing effect of perioperative ERAS in laparoscopic right hepatectomy. Methods Sixty? eight patients who underwent laparoscopic right hemihepatectomy in our hospital from October 2016 to December 2017 were selected and grouped according to admission order. In the control group，34 cases were treated with traditional nursing methods. The nursing program ERAS group（34 case）was based on the addition of ERAS care to the control care program. The postoperative hospitalization days，VAS scores，the first time of expelling flatus and getting up，score of self-care ability，risk of venous thrombosis，and patient satisfaction with care were compared between the two groups of patients. Results Compared with the control group，the first time of bed?out，the first anal exhaust time and the length of hospital stay were effectively reduced in the ERAS group. The VAS score was lower than that of the control group；the Barthel index score and nursing satisfaction were higher than the control group，P<0.05，the differences were statistically significant. The risk assessment and complications of postoperative venous thrombosis in the two groups was not statistically significant. Conclusion The clinical effect of ERAS nursing in patients after laparoscopic right hepatectomy is safe and stable，which can speed up the recovery time of patients，shorten hospital stay，with no increase in complications，and high patient satisfaction.

Key words: right hepatectomy, laparoscope, eras, nursing effect