| 吴佩红.加速康复外科在神经外科幕上肿瘤围术期护理中的应用[J].上海护理,2019,19(S1): |
| 加速康复外科在神经外科幕上肿瘤围术期护理中的应用 |
| Application of Enhanced Recovery After Surgery in Perioperative Nursing of Supratentorial Tumor in Neurosurgery Department/Wu Peihong,Xu Yan,Ren Xuefang,Shi Yimin,Chen Liang |
| DOI： |
| 中文关键词: 加速康复外科 神经外科 幕上肿瘤 围术期护理 |
| 英文关键词:Enhanced recovery after surgery Neurosurgery Supratentorial tumor perioperative nursing |
| 基金项目:中国工程院咨询研究项目 |
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| 中文摘要: |
| 目的 探讨加速康复外科 (enhanced recovery after surgery,ERAS)在神经外科幕上肿瘤患者围术期护理中的应用效果。方法 采用方便取样方法选取2018年1月至2018年9月于我院神经外科行手术治疗的幕上肿瘤患者104例,采用数字随机方法分为对照组和观察组各52例,对照组给予围术期常规护理,观察组在此基础上应用加速康复外科理念,比较两组患者术前主观舒适度(口渴、饥饿、焦虑)视觉模拟评分(visual analogue scale,VAS)以及术后并发症发生情况、住院时间和住院费用等。结果 观察组术前口渴、饥饿、焦虑VAS评分低于对照组,差异有统计学意义(P＜0.05)；观察组术后并发症明显低于对照组,其中恶心呕吐、尿路感染、颅内感染、电解质紊乱发生率的差异具有统计学意义(P＜0.05)；两组患者住院时间及住院费用比较,差异均具有统计学意义(P＜0.05)。结论 加速康复外科的应用可减轻幕上肿瘤患者开颅手术前口渴、术前焦虑、饥饿不适,提高主观舒适度；可减少术后并发症发生,缩短住院时间和减少住院费用。 |
| 英文摘要: |
| Objective To explore the application efficacy of ERAS (enhanced recovery after surgery) in perioperative care of patients with supratentorial tumor in neurosurgical department.Methods A total of 104 patients with supratentorial tumor in the neurosurgical department of our hospital from January 2018 to September 2018 were selected by convenient sampling method, and randomly divided into the observation group and the control group,with 52 cases in each group.The patients in the control group accepted traditional perioperative nursing method while those in the observation group accepted the enhanced recovery after surgery additionally.The preoperative VAS(visual analogue scale) score of subjective comfort level(thirst,hunger and anxiety),incidence of postoperative complications,hospital days and hospital costs were compared betweenStheStwoSgroups.Results The VAS scores of thirst, hunger and anxiety of theSobservationSgroup were lowerS thanS theScontrolSgroup,SwithSstatisticalSsignificance(P＜0.05).TheSincidenceSof SpostoperativeScomplications were obviously lower than the control group,in which,the incidence of disgusting vomits,urinary infection,intracranial infection and electrolyte imbalance had statisticallySsignificant difference(P＜0.05).In addition,the difference of hospital days and hospital costs were also statisticallySsignificant(P＜0.05).Conclusion For patients with supratentorial tumor in neurosurgical department,the enhanced recovery after surgery can reduce theSincidenceSofSpostoperativeScomplications and cut down the hospital days and hospital expenses. |
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