构建互联网+加速康复外科（ERAS）信息化系统，探讨该系统在肝癌患者术后加速康复中应用价值，为医院外科康复信息化管理提出科学、高效的方案。

回顾性分析2023年1月至12月川北医学院附属医院收治的87例肝癌患者临床资料。其中男53例，女34例；平均年龄(55±8)岁。本研究已经获得伦理委员会批准。2023年1月至6月患者采用常规护理干预设为常规组（n=50），2023年7月至12月采用互联网+ERAS信息化系统患者设为ERAS组（n=37）。互联网+ERAS信息化系统包含每日措施提醒、临床决策以及信息化闭环三个模块。比较应用前后ERAS护理工作的落实率、患者住院时间及费用的变化、不良反应情况。将常规组和ERAS组患者按照1∶1比例进行倾向性评分匹配（PSM)。两组率的比较采取χ²检验；计量资料比较采取t检验。

PSM后两组均为31例，性别、年龄、BMI、肿瘤直径、肝功能Child-Pugh分级、TNM分级、家庭居住地以及家庭收入等一般资料差异无统计学意义（P>0.05）。ERAS组健康宣教、术中保温、多模式镇痛、术后早期活动、导管管理、术后进食落实分别为28、27、28、29、28、29例，常规组相应为21、20、19、22、21、20例，ERAS组康复护理工作落实明显优于常规组（χ²=4.769，4.309，7.123，3.946，4.769，7.884；P<0.05）。ERAS组住院时间、住院费用分别为（10.9±1.2）d、（4.0±1.3）万元，明显低于常规组的（11.7±1.1）d、（4.7±1.3）万元（t=2.688，2.219；P<0.05）。ERAS组不良反应发生率6%（2/31），明显低于常规组的26%（8/31）（χ²=4.292，P<0.05）。

互联网+ERAS信息化系统能提高肝癌患者术后护理工作落实率，缩短住院时间并降低住院费用，减少不良反应发生，为肝癌患者术后加速康复提供有力保障。

To construct the Internet+enhanced recovery after surgery(ERAS) information system, explore the application value of this system in ERAS of liver cancer patients and put forward a scientific and efficient regimen for the information management of surgical recovery in hospitals.

Clinical data of 87 patients with liver cancer admitted to the Affiliated Hospital of North Sichuan Medical College from January 2023 to December 2023 were retrospectively analyzed. Among them, 53 patients were male and 34 female, aged (55±8) years on average. This retrospective cohort study has been approved by the ethics committee of the hospital. Patients given with routine nursing intervention from January to June, 2023 were assigned into the routine group, and those receiving Internet+ERAS information system from July to December, 2023 were allocated into the ERAS group. Internet+ERAS information system included three modules: daily measure reminder, clinical decision-making and closed-loop information. The implementation rate, the changes of the length of hospital stay and hospitalization expense, and adverse reactions were compared before and after ERAS nursing care. Patients in the routine and ERAS groups were subject to propensity score matching (PSM) at a ratio of 1∶1. The rates between two groups were compared by Chi-square test. Measurement data were statistically compared by t-test.

31 patients were assigned in either of two groups after PSM. No significant differences were observed in baseline data, such as gender, age, BMI, tumor diameter, Child-Pugh score, TNM classification, family residence and family income (all P>0.05). Health education, intraoperative heat preservation, multi-mode analgesia, early postoperative activities, catheter management, and postoperative eating were 28, 27, 28, 29, 28, and 29 cases in the ERAS group, and 21, 20, 19, 22, 21, and 20 cases in the routine group, respectively. The implementation rate of recovery nursing care in the ERAS group was significantly better than that in the routine group (χ²=4.769, 4.309, 7.123, 3.946, 4.769 and 7.884; all P<0.05). The length of hospital stay and hospitalization expense in the ERAS group were (10.9±1.2) d and (4.0±1.3)×10⁴ yuan, significantly lower than (11.7±1.1) d and (4.7±1.3)×10⁴ yuan in the routine group (t=2.688,2.219; both P<0.05). The incidence of adverse reactions in the ERAS group was 6%(2/31), significantly lower than 26% (8/31) in the routine group (χ²=4.292, P<0.05).

Internet+ERAS information system can improve the implementation rate of postoperative nursing care, shorten the length of hospital stay, lower hospitalization expense and reduce the occurrence of adverse reactions, providing potent guarantee for ERAS of liver cancer patients.