摘要
目的 探讨经皮肾镜取石术(PCNL)患者围手术期应用加速康复外科(ERAS)理念的临床价值。 方法 收集135例PCNL患者的临床资料,根据是否应用ERAS分为ERAS组和传统组。ERAS组62例患者围术期采用ERAS处理模式,传统组73例患者围术期采用传统处理模式;比较两组患者术后首次饮水时间、首次肛门排气时间、视觉模拟评分法(VAS)疼痛评分、下床活动和导尿管留置时间、手术并发症发生率、住院天数等的差异。 结果 ERAS组患者术后首次饮水和肛门排气时间、首次下床活动和导尿管留置时间、住院天数均短于传统组(P<0.05),术后24、48hVAS评分也低于传统组(P<0.05)。 结论 在PCNL围手术期应用ERAS指导,可明显加速术后康复,改善患者预后。
Objective To investigate the clinical value of application of enhanced recovery after surgery (ERAS) on percutaneous nephrolithotomy (PCNL) during peri-operative period. Methods From September2016 to December2017, the clinical data of135 cases of percutaneous nephrolithotomy patients in our department were reviewed, and the cases were divided into ERAS group and regular group based on whether they were treated with ERAS or not. ERAS group patients were managed with ERAS while the regular group patients were managed with conventional method. After operation, the first drinking time, the first exhaust time, VAS score, the first bed activity time, time of indwelling catheter, incidence of complication and hospital day of the two groups were compared. Results The first drinking time, the first exhaust time, the first bed activity time, time of indwelling catheter, hospital day in the experimental group were significantly shorter than that in the regular group ( P <0.05). 24 hours and 48 hours after operation, the VAS score of ERAS group were significantly lower than that of regular group ( P < 0.05). Conclusion Application of ERAS in PCNL can enhance the recovery and improve prognosis. It is worth to be applied.
作者
张华
毛厚平
江涛
陈沁
何彦丰
陈文炜
ZHANG Hua;MAO Houping;JIANG Tao;CHEN Qin;HE Yanfeng;CHENWenwei(Department of Urology, The First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China)
出处
《福建医科大学学报》
2019年第3期187-190,共4页
Journal of Fujian Medical University
基金
福建省自然科学基金(2016J01528)
关键词
加速康复外科
围手术期护理
结石
内窥镜检查
肾造口术
经皮
enhanced recovery after surgery
perioperative nursing
calculi
endoscopy
nephrostomy, percutaneous
