International Journal of Clinical Research

Objective To explore the application value of nausea and vomiting nursing based on the concept of Enhanced Recovery after Surgery (CM-ERAS) of traditional Chinese medicine in patients undergoing cholecystectomy. Methods A total of 84 patients who underwent cholecystectomy and were admitted to our hospital from May 2023 to September 2024 were selected and randomly grouped according to the odd-even number method. The control group (conventional care, 42 cases) and the observation group (nausea and vomiting nursing plan based on the CM-ERAS concept, 42 cases). Compare the incidence of postoperative nausea and vomiting (PONV) between two groups at 0-6, 7-12, 13-18, and 19-24 hours after surgery, compare the relevant indicators of gastrointestinal function recovery (first exhaust, first food intake, bowel sounds recovery) between the two groups, and compare the risk of postoperative complications (abdominal distension, diarrhea, bile reflux) between the two groups. Results The incidence of PONV in the observation group was lower than that in the control group at 0-6, 7-12, 13-18, and 19-24 hours after surgery, and the recovery time of the first exhaust, eating, and bowel sounds after surgery was shorter than that in the control group. The overall incidence of postoperative complications was also lower (P < 0.05). Conclusion Implementing nausea and vomiting care based on the CM-ERAS concept for patients undergoing cholecystectomy can significantly alleviate their postoperative nausea and vomiting, promote the recovery of gastrointestinal function, and prevent complications. It is worthy of clinical promotion.

Cholecystectomy; The CM-ERAS concept; Care for nausea and vomiting; Gastrointestinal function; Incidence of complications