目的:探讨基于加速康复外科(Enhanced recovery after surgery,ERAS)理念的手术室护理路径在行腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)患者中的应用效果。方法:选取2019年2月—2021年1月赣州市人民医院行LC术的86例患者作...目的:探讨基于加速康复外科(Enhanced recovery after surgery,ERAS)理念的手术室护理路径在行腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)患者中的应用效果。方法:选取2019年2月—2021年1月赣州市人民医院行LC术的86例患者作为研究对象,按随机数表法分为对照组和观察组,每组各43例。对照组采用常规护理,观察组采用基于ERAS理念的手术室护理路径干预。对比两组患者负面情绪、术后疼痛、机体恢复情况及并发症发生率。结果:观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(t=8.155、5.584,P<0.05);术后6h两组患者疼痛评分对比,差异无统计学意义(t=0.467,P>0.05),术后第3d观察组视觉模拟评分(VAS)低于对照组,差异有统计学意义(t=10.195,P<0.05);观察组肛门排气时间、肛门排便时间、进食时间、下床活动时间、住院时间短于对照组,差异有统计学意义(t=5.898、7.389、6.945、6.606、5.464,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.468,P<0.05)。结论:基于ERAS理念的手术室护理路径能够加快LC患者术后胃肠功能恢复,减少并发症发生,减轻术后疼痛及负面情绪,从而促进术后康复,缩短住院时间。展开更多
目的:分析快速康复外科(Enhanced Recovery After Surgery,ERAS)护理理念在腹腔镜胃肠道患者手术中的应用价值。方法:选择200例2017年4月-2018年4月笔者所在医院收治的行腹腔镜胃肠道手术患者,按照随机表法将患者分为对照组与ERAS组,每...目的:分析快速康复外科(Enhanced Recovery After Surgery,ERAS)护理理念在腹腔镜胃肠道患者手术中的应用价值。方法:选择200例2017年4月-2018年4月笔者所在医院收治的行腹腔镜胃肠道手术患者,按照随机表法将患者分为对照组与ERAS组,每组100例,对照组实施常规护理,ERAS组在常规护理基础上实施快速康复外科理念护理。观察比较两组患者饮食恢复时间、排气时间与住院时间;观察两组患者对护理满意度。结果:ERAS组饮食恢复时间、排气时间与住院时间均短于对照组,差异均有统计学意义(P<0.05);ERAS组护理满意度(97.00%)显著高于对照组(75.00%),差异有统计学意义(P<0.05)。结论:术中实施ERAS理念护理可以缩短腹腔镜胃肠道手术患者术后康复时间,提高患者对护理的满意度。展开更多
Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surge...Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (c展开更多
目的分析基于加速康复外科(enhanced recovery after surgery,ERAS)理念的手术室护理干预在关节置换术中的应用价值。方法方便选取2022年1月—2023年10月泰州市第二人民医院收治的76例行关节置换术患者为研究对象,按照不同护理干预分为...目的分析基于加速康复外科(enhanced recovery after surgery,ERAS)理念的手术室护理干预在关节置换术中的应用价值。方法方便选取2022年1月—2023年10月泰州市第二人民医院收治的76例行关节置换术患者为研究对象,按照不同护理干预分为研究组和对照组,各38例。对照组实施常规围术期护理,研究组实施ERAS理念的手术室护理干预,分析两组患者术后生活质量、疼痛情况、并发症发生率及满意度。结果研究组躯体功能、心理功能、社会功能、物质生活等生活质量评分均优于对照组,差异有统计学意义(P均<0.05)。研究组总满意率高于对照组,并发症总发生率低于对照组,差异有统计学意义(P均<0.05)。研究组术后疼痛评分为(2.05±0.96)分,低于对照组的(3.44±1.22)分,差异有统计学意义(t=5.519,P<0.05)。结论基于ERAS理念的手术室护理干预可显著提高患者康复效果以及生活质量,切实保障患者健康。展开更多
文摘目的:探讨基于加速康复外科(Enhanced recovery after surgery,ERAS)理念的手术室护理路径在行腹腔镜胆囊切除术(Laparoscopic cholecystectomy,LC)患者中的应用效果。方法:选取2019年2月—2021年1月赣州市人民医院行LC术的86例患者作为研究对象,按随机数表法分为对照组和观察组,每组各43例。对照组采用常规护理,观察组采用基于ERAS理念的手术室护理路径干预。对比两组患者负面情绪、术后疼痛、机体恢复情况及并发症发生率。结果:观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(t=8.155、5.584,P<0.05);术后6h两组患者疼痛评分对比,差异无统计学意义(t=0.467,P>0.05),术后第3d观察组视觉模拟评分(VAS)低于对照组,差异有统计学意义(t=10.195,P<0.05);观察组肛门排气时间、肛门排便时间、进食时间、下床活动时间、住院时间短于对照组,差异有统计学意义(t=5.898、7.389、6.945、6.606、5.464,P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.468,P<0.05)。结论:基于ERAS理念的手术室护理路径能够加快LC患者术后胃肠功能恢复,减少并发症发生,减轻术后疼痛及负面情绪,从而促进术后康复,缩短住院时间。
文摘目的:分析快速康复外科(Enhanced Recovery After Surgery,ERAS)护理理念在腹腔镜胃肠道患者手术中的应用价值。方法:选择200例2017年4月-2018年4月笔者所在医院收治的行腹腔镜胃肠道手术患者,按照随机表法将患者分为对照组与ERAS组,每组100例,对照组实施常规护理,ERAS组在常规护理基础上实施快速康复外科理念护理。观察比较两组患者饮食恢复时间、排气时间与住院时间;观察两组患者对护理满意度。结果:ERAS组饮食恢复时间、排气时间与住院时间均短于对照组,差异均有统计学意义(P<0.05);ERAS组护理满意度(97.00%)显著高于对照组(75.00%),差异有统计学意义(P<0.05)。结论:术中实施ERAS理念护理可以缩短腹腔镜胃肠道手术患者术后康复时间,提高患者对护理的满意度。
文摘Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (c
文摘目的分析基于加速康复外科(enhanced recovery after surgery,ERAS)理念的手术室护理干预在关节置换术中的应用价值。方法方便选取2022年1月—2023年10月泰州市第二人民医院收治的76例行关节置换术患者为研究对象,按照不同护理干预分为研究组和对照组,各38例。对照组实施常规围术期护理,研究组实施ERAS理念的手术室护理干预,分析两组患者术后生活质量、疼痛情况、并发症发生率及满意度。结果研究组躯体功能、心理功能、社会功能、物质生活等生活质量评分均优于对照组,差异有统计学意义(P均<0.05)。研究组总满意率高于对照组,并发症总发生率低于对照组,差异有统计学意义(P均<0.05)。研究组术后疼痛评分为(2.05±0.96)分,低于对照组的(3.44±1.22)分,差异有统计学意义(t=5.519,P<0.05)。结论基于ERAS理念的手术室护理干预可显著提高患者康复效果以及生活质量,切实保障患者健康。
