探讨外科加速康复（ERAS）理念对老年腹腔镜腹股沟疝修补术患者围手术期的影响。

选取2016年6月至2018年6月于武汉特勤疗养中心门诊部行腹腔镜腹股沟疝修补术的老年患者128例。按照随机数表法分为观察组和对照组，各64例。对照组给予常规护理，观察组按照ERAS理念，给予诊疗干预。观察2组患者肛门排气时间、下床活动时间、首次进食时间、住院天数等术后恢复情况。比较2组患者术后疼痛情况，记录2组患者的不良反应发生情况，评价2组患者的术后护理满意度。

观察组患者肛门排气、下床活动、首次进食及住院时间分别为（5.24±0.36）h、（0.72±0.35）h、（6.42±0.31）h、（1.25±0.81）d；低于对照组，差异有统计学意义（P<0.05）。观察组患者的术后疼痛持续时间、数字疼痛评分表（NRS）评分分别为（4.26±0.51）d、（1.45±0.32）分；对照组分别为（5.91±0.81）d、（2.81±0.47）分，差异有统计学意义（P<0.05）。观察组和对照组的不良反应发生率分别为9.38%、28.13%；观察组明显较低，差异有统计学意义（P<0.05）。观察组和对照组的护理满意度分别为93.75%、73.44%；观察组明显较高，差异有统计学意义（P<0.05）。

ERAS对老年腹腔镜腹股沟疝修补术患者的术后恢复具有较好疗效，能有效地降低疼痛程度，提高护理满意度，降低术后并发症的发生率，值得临床大力推广。

To investigate the effect of enhanced recovery after surgery (ERAS) on elderly patients undergoing laparoscopic inguinal hernia repair.

128 elderly patients who underwent laparoscopic inguinal hernia repair in Wuhan Special Service Center Clinic from June 2016 to June 2018 were randomly divided into observation group and control group, with 64 cases in each group. The control group received routine nursing. The observation group was followed by ERAS, given diagnosis and treatment intervention. The postoperative recovery of anal exhaust time, bed-out time, first feeding time, and hospitalization days were observed. The postoperative pain was compared between the two groups. The incidence of adverse reactions and postoperative care satisfaction were recorded.

The anus exhaust time, the time of getting out of bed, the time of first feeding, and the length of hospital stays in the observation group were significantly lower than those in the control group [(5.24±0.36) h vs (8.62±0.51) h, (0.72±0.35) h vs (1.42±0.50) h, (6.42±0.31) h vs (9.51±0.48) h, (1.25±0.81) d vs (3.20±1.54) d], and the differences were statistically significant (P<0.05); observation group postoperative pain duration and numerical pain score (NRS) of observation group were significantly lower than those of the control group [(4.26±0.51) d vs (5.91±0.81) d, (1.45±0.32) points vs (2.81±0.47) points] (P<0.05). The incidence of adverse reactions in the observation group and control group were 9.38% and 28.13%, respectively; it was significantly lower in the observation group, and the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group and the control group were 93.75% and 73.44%, respectively; the observation group was significantly higher, and the difference was statistically significant (P<0.05).

ERAS has a good effect on elderly patients undergoing laparoscopic inguinal hernia repair. It can effectively promote postoperative recovery, reduce pain, improve nursing satisfaction, and reduce postoperative complications. It is worthy of clinical promotion.