摘要
目的探讨分析胸外科围手术期导尿管管理策略。方法45例肺部疾病患者,随机分为对照组(21例)和实验组(24例)。两组患者进行肺部切除术和淋巴结扫描,对照组患者采用常规导尿管管理,实验组患者围手术期严格按照加速康复外科(ERAS)理念进行操作。比较两组患者术后并发症发生情况、舒适度、下床活动时间和住院天数。结果实验组术后并发症发生率37.50%低于对照组的71.43%,差异具有统计学意义(P<0.05)。实验组术后舒适度明显优于对照组,差异具有统计学意义(P<0.05)。实验组患者下床活动时间和住院天数分别为(20.24±5.14)h和(5.13±1.42)d,对照组分别为(25.11±6.14)h和(6.54±2.01)d,实验组患者下床活动时间、住院天数短于对照组,差异具有统计学意义(P<0.05)。结论胸外科围手术期患者应用ERAS理念进行导尿管管理,能有效降低术后并发症发生率,预后效果较好,得到了患者的认可。
Objective To discuss and analyze the management strategy of urethral catheter during perioperative period in thoracic surgery.Methods A total of 45 patients with lung disease were randomly divided into control group(21 cases)and experimental group(24 cases).Both groups underwent lung resection and lymph node scanning.Patients in the control group were managed by conventional catheters,and the patients in the experimental group were operated strictly in accordance with the concept of enhanced recovery after surgery(ERAS)during the perioperative period.The occurrence of postoperative complications,comfort degree,off-bed activity time,and hospitalization time were compared between the two groups.Results The incidence of postoperative complications 37.50%of the experimental group was lower than 71.43%of the control group,and the difference was statistically significant(P<0.05).The postoperative comfort degree of the experimental group was obviously better than that of the control group,and the difference was statistically significant(P<0.05).The off-bed activity time and hospitalization time of the experimental group were(20.24±5.14)h and(5.13±1.42)d,which were(25.11±6.14)and(6.54±2.01)d of the control group.The off-bed activity time and the hospitalization time of the experimental group were shorter than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of catheter management in accordance with the concept of ERAS in perioperative period of thoracic surgery can effectively reduce the incidence of postoperative complications and the prognosis is good,which is recognized by the patient.
作者
拜都如拉·艾尼吐
杨慧慧
付毅
常炜
陈存存
车勇
BAIDURULA·Ainitu;YANG Hui-hui;FU Yi(Chest Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830049,China)
出处
《中国实用医药》
2021年第20期40-42,共3页
China Practical Medicine
基金
新疆维吾尔自治区自然科学基金资助项目(项目编号:2020D01A107)。
关键词
胸外科
围手术期
导尿管
管理策略
Thoracic surgery
Perioperative period
Urinary catheter
Management strategy
