摘要
目的 探讨对慢性硬膜下血肿手术后患者实施加速康复流程治疗的效果。方法 选取安溪县医院2018年1月—2022年10月收治的90例慢性硬膜下血肿患者,所有患者均采用慢性硬膜下血肿钻孔引流术治疗。随机分成采用加速康复(enhanced recovery after surgery,ERAS)流程治疗的ERAS组,以及采用传统治疗流程的对照组各45例。观察并比较两组的住院时间、总费用、满意度、术后并发症发生情况,入院时、术晨、出院时的焦虑和抑郁评分,入院时及治疗2周后的神经功能评分,以及治疗1个月后日常生活能力评分。结果 ERAS组住院时间和总费用少于对照组,差异有统计学意义(P<0.05)。两组满意度评分差异无统计学意义(P>0.05)。对照组新发肺部感染率和尿路感染率高于ERAS组,差异有统计学意义(P<0.05),两组术后其他并发症发生率差异无统计学意义(P>0.05)。两组入院时焦虑、抑郁和神经功能评分差异无统计学意义(P>0.05)。术晨和出院时ERAS组焦虑和抑郁评分均低于对照组,差异有统计学意义(P <0.05)。治疗2周后ERAS组神经功能评分低于对照组,差异有统计学意义(P<0.05)。治疗1个月后ERAS组日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。结论 慢性硬膜下血肿术后患者采用加速康复流程治疗,相较于传统治疗流程,可以进一步减少患者的住院时间和总费用,改善患者的神经功能、负性情绪和日常生活能力,值得推广使用。
Objective To explore the effect of enhanced recovery process after surgery(ERAS) in the treatment of patients with chronic subdural hematoma(CSDH).Methods A total of 90 patients with CSDH admitted to Anxi County Hospital from January 2018 to October 2022 were selected,and all patients were treated with CSDH trepanation and drainage surgery.All the patients were randomly divided into an ERAS group treated with ERAS process and a control group treated with traditional treatment process,with 45 cases in each group.Observe and compare the hospitalization time,total cost,satisfaction,postoperative complications,anxiety and depression scores at admission,operational morning and discharge,neurological function scores at admission and 2 weeks after treatment,and daily living ability scores after 1 month of treatment between the two groups.Results The hospitalization time and total cost in the ERAS group were significantly lower than those in the control group(P<0.05).There was no significant difference in satisfaction scores between the two groups(P>0.05).The incidence of emerging lung infections and urinary tract infections in the control group was significantly higher than that in the ERAS group(P<0.05).There was no significant difference in the incidence of other postoperative complications between the two groups(P>0.05).There was no significant difference in anxiety,depression,and neurological function scores between the two groups at admission(P>0.05).The anxiety and depression scores in the ERAS group were significantly lower than those in the control group at operational morning and discharge(P<0.05).After 2 weeks of treatment,the neurological function scores of the ERAS group was significantly lower than that of the control group(P<0.05).After 1 month of treatment,the daily living ability scores of the ERAS group was significantly higher than that of the control group(P<0.05).Conclusion Patients with CSDH are treated with ERAS process,which can further reduce their hospitalization time and total costs compared to
作者
谢泽锋
陈龙钦
李绍熹
XIE Zefeng;CHEN Longqin;LI Shaoxi(Department of Neurosurgery,Anxi County Hospital,Quanzhou 362400,Fujian Province,China)
出处
《中国实用乡村医生杂志》
2024年第1期47-51,共5页
Chinese Practical Journal of Rural Doctor
关键词
慢性硬膜下血肿
术后
治疗
加速康复
效果
Chronic Subdural Hematoma
After Surgery
Treatment
Enhanced Recovery after Surgery
Effect
