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目的:探讨患者参与在腹腔镜肝切除术患者加速康复外科（ERAS）护理中的应用效果。方法:采用便利抽样法，选择2019年1—12月在江苏省常州市第一人民医院肝胆胰外科进行腹腔镜肝切除术（LLR）择期手术的102例患者作为研究对象，按照入院时间分为对照组（n n=52）和观察组（n n=50）。对照组给予常规围手术期护理，观察组患者参与ERAS护理，护患双方共同执行ERAS项目执行单，完成相关措施。比较两组口渴、饥饿、首次下床活动时间、出院时间、并发症和自理能力等的差异。n 结果:观察组患者手术前后口渴、饥饿发生比例低于对照组，差异有统计学意义（n P<0.01）；观察组患者术后疼痛、肺部感染发生比例低于对照组，差异有统计学意义（n P<0.05）。观察组患者术后首次下床时间和出院时间短于对照组，差异有统计学意义（n P<0.01）。n 结论:LLR患者参与ERAS护理措施相关环节安全有效，可以促进患者早日康复。“,”Objective:To explore the application effect of patients' participation in enhanced recovery after surgery (ERAS) nursing care in patients with laparoscopic liver resection (LLR) .Methods:A total of 102 patients undertaken LLR from January to December 2019 in the Department of Hepatobiliary and Pancreatic Surgery of the First People's Hospital of Changzhou of Jiangsu Province were selected as the research subjects by convenience sampling method. They were divided into control group (n n=52) and observation group (n n=50) according to admission time. The control group was given routine perioperative care. Under the concept of ERAS, the patients in the observation group proactively participated in the operation. Both the nurses and patients jointly implemented the project of ERAS sheet. and completed the relevant measures. The differences of thirst, hunger, first ambulation time, discharge time, complications and self-care ability were compared between the two groups.n Results:The incidence of thirst and hunger in the observation group was significantly lower than that in the control group, and the difference was statistically significant (n P<0.01) . The incidence of postoperative pain and pulmonary infection in the observation group were lower than those in the control group, and the differences were statistically significant (n P<0.05) . The first ambulation time out of bed and discharge time of the observation group were shorter than those of the control group, the difference was statistically significant (n P<0.01) .n Conclusions:It is safe and effective for patients to participate in ERAS nursing measures during the perioperative period of LLR, which can promote the early recovery of patients.