摘要
目的探究加速康复外科(enuanced recovery after surgery,ERAS)理念应用于保留肾单位的肾部分切除围术期护理中对机体恢复及并发症的影响。方法选取南京大学医学院附属鼓楼医院2014年6月至2017年6月行保留肾单位肾部分切除的患者,其中2014年6月至2015年12月收治的74例患者行围术期常规护理(对照组),2016年1月至2017年6月收治的74例患者行围术期ERAS理念护理(观察组)。对比2组机体恢复情况、并发症发生率及护理前后生活质量变化。结果观察组排气时间、排便时间、进食时间、下床活动时间及住院时间均短于对照组,差异有统计学意义(P<0.05);观察组护理10d后高碳酸血症、感染、漏尿、比血、血尿发生率均低于对照组,差异有统计学意义(P<0.05);观察组护理10d后生理功能、生理职能、情感职能、精力、躯体疼痛、一般健康状态、精神健康、社会功能评分均髙于对照组,差异有统计学意义(P<0.05)。结论ERAS理念应用于保留肾单位肾部分切除围术期护理可有效改善患者机体恢复情况,降低并发症发生率,提高生活质量,值得临床推广。
Objective To investigate the effects of enhanced recovery after surgery (ERAS) on the recovery and complications of the patients during the perioperative period of nephron-sparing partial nephrectomy.Methods A total of 148 patients who underwent nephron-sparing partial nephrectomy from June 2014 to June 2017 in Drum Tower Hospital ,School of Medicine, Nanjing University were selected in this study.Among them, 74 patients received routine perioperative nursing (control group) from June 2014 to December 2015 , and 74 patients received ERAS nursing (observation group) from January 2016 to June 2017.The patients who were admitted to our hospital from July 2016 to July 2017 74 patients with nephron partial nephrectomy who underwent ERAS concept of perioperative period were selected as the observation group.The recovery of physical status, incidence of complications and quality of life before and after nursing were compared between the two groups.Results The time of passing gas, defecation, taking food, getting out of bed and hospitalization in the observation group was significantly shorter than that in the control group (P<0.05).After 10 days of nursing, the incidence ol hypercapnia, infection, leakage of urine, hemorrhage and hematuria in the observation group was significantly lower than that in the control group (P<0.05), and the scores of physical functioning (PF), role limitations due lo physical health problems (RP), role limitations due to emotional health problems (RE), vitality (VT), bodily pain (BP), general health (GH), mental health (MH), and social functioning (SF) in the observation group were significantly higher than those in the control group (P<0.05).Conclusions The application of ERAS concept in perioperative of nrplnon sparing partial nephrectomy can effectively improve the recovery of patients, reduce the incidence of complications and improve the quality of life, which is worthy of clinical promotion.
作者
赵丽娟
李萍
庄君龙
ZHAO LI Juan;LI Ping;ZHUANG Junlong(Department of Urology,Drum Tower Hospital,School of Medicine,Nanjing University,Nanjing,Jiangsu 210000,China)
出处
《徐州医科大学学报》
CAS
2019年第3期212-216,共5页
Journal of Xuzhou Medical University
基金
江苏省科技项目基础研究计划(自然科学基金)-青年基金(BK20160117)
国家自然科学基金(81602221)
关键词
ERAS理念
保留肾单位
肾部分切除
围术期
机体恢复
并发症
生活质量
ERAS concept
nephron preservation
partial nephrectomy
perioperative period
body recovery
complications
quality of life
