基于 ERAS 理念下多学科协作模式在胰肾联合移植中的应用效果

doi:10.3969/j.issn.2095-5332.2025.03.007

实用器官移植电子杂志 ›› 2025, Vol. 13 ›› Issue (3): 223-226.DOI: 10.3969/j.issn.2095-5332.2025.03.007

基于 ERAS 理念下多学科协作模式在胰肾联合移植中的应用效果

黄丽娜，雷志影，莫园园，孙煦勇，董建辉，王艳杰

广西医科大学第二附属医院移植医学研究所，广西器官移植临床医学研究中心，广西器官捐献与移植研究重点实验室，广西南宁 530007

出版日期:2025-05-20 发布日期:2025-05-20
基金资助:
广西医疗卫生适宜技术开发与推广应用项目（S2023079）

The application effect of a multidisciplinary collaborative model in combined pancreato-renal transplantation based on the ERAS concept

Huang Lina，Lei Zhiying ，Mo Yuanyuan，Sun Xuyong，Dong Jianhui，Wang Yanjie.

Institute of Transplantation Medicine，The Second Affiliated Hospital of Guangxi Medical University，Guangxi Clinical Medical Research Center for Organ Transplantation，Guangxi KeyLaboratory of Organ Donation and Transplantation，Guangxi Nanning 530007，China.

Online:2025-05-20 Published:2025-05-20

摘要/Abstract

摘要：

目的探讨基于加速康复外科（enhanced recovery after surgery，ERAS）理念下多学科协作模式在胰肾联合移植中的应用效果。方法选取 2020 年 4 月至 2024 年 8 月广西医科大学第二附属医院首次进行胰肾联合移植的 47 例受者为研究对象，分为对照组和观察组。对照组按术后常规护理，观察组采用 ERAS 理念下多学科协作模式护理。结果观察组患者术后空腹血糖低于对照组，住院时长少于对照组，差异具有统计学意义（P ＜ 0.05）。两组患者糖化血红蛋白、血清肌酐值、术后早期并发症发生率、生存结局比较无统计学差异（P ＞0.05）。结论基于 ERAS 理念下多学科协作模式护理在胰肾联合移植患者中取得良好成效，能够促进胰腺功能恢复，缩短住院时间，促进患者早日康复，提升患者满意度。

关键词:

胰肾联合移植 , 加速康复外科 , 多学科协作 , 护理

Abstract:

Objective To investigate the application effect of the multidisciplinary collaborationmodel under the concept of enhanced recovery after surgery （ERAS） in simultaneous pancreas-kidneytransplantation. Methods Forty-seven recipients who underwent their first simultaneous pancreas-kidney transplantation from April 2020 to August 2024 in the Second Affiliated Hospital of Guangxi Medical University were selected as the research subjects and randomly divided into the control group and the observation group. The control group received routine postoperative care， while the observation group was nursed under the multidisciplinary collaboration model based on the ERAS concept. Results The postoperative fasting blood glucose of the observation group was lower than that of the control group， and the length of hospital stay was shorter， with statistically significant differences（P ＜ 0.05）. There were no statistically significant differences in glycated hemoglobin， serum creatinine values， early postoperative complication rates， and survival outcomes between the two groups （P ＞ 0.05）. Conclusion The multidisciplinary collaboration model based on the ERAS concept in the nursing of patients undergoing simultaneous pancreas-kidney transplantation has achieved favorable outcomes， promoting the recovery of pancreatic function， shortening the hospitalstay， facilitating early recovery of patients， and enhancing patient satisfaction.

Key words:

Simultaneous pancreas-kidney transplantation； , Enhanced recovery after surgery； , Multidisciplinary collaboration； , Nursing

黄丽娜, 雷志影, 莫园园, 孙煦勇, 董建辉, 王艳杰.

基于 ERAS 理念下多学科协作模式在胰肾联合移植中的应用效果 [J/CD]. 实用器官移植电子杂志, 2025, 13(3): 223-226.

Huang Lina, Lei Zhiying , Mo Yuanyuan, Sun Xuyong, Dong Jianhui, Wang Yanjie. .

The application effect of a multidisciplinary collaborative model in combined pancreato-renal transplantation based on the ERAS concept [J]. Practical Journal of Organ Transplantation(Electronic Version), 2025, 13(3): 223-226.

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https://syqgyz.magtechjournal.com/CN/Y2025/V13/I3/223

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基于 ERAS 理念下多学科协作模式在胰肾联合移植中的应用效果

The application effect of a multidisciplinary collaborative model in combined pancreato-renal transplantation based on the ERAS concept

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