加速康复外科护理在腔镜下子宫切除术患者的临床应用

发布时间：2017-12-31 11:05

本文关键词：加速康复外科护理在腔镜下子宫切除术患者的临床应用　出处：《中国全科医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的探讨加速康复外科(ERAS)护理策略在腔镜下子宫切除术患者的应用方式及临床效果。方法选取2016年1月—2017年2月于我科行腔镜下子宫切除术患者84例,其中采用常规围手术期护理40例(常规组),采用ERAS护理44例(ERAS组),对两组患者手术后24 h、3 d采用疼痛数字评分法(NRS)进行评分,对比两组患者手术前后血红蛋白(HGB)和清蛋白(ALB)水平及术后下地活动时间、排气时间、排便时间、恶心呕吐程度、术后住院时间、术后并发症发生率。结果 ERAS组术后24 h和术后3 d的NRS评分均低于常规组(P0.05),ERAS组术后24 h的HGB和ALB水平均高于常规组(P0.05),ERAS组术后下地活动时间、排气时间、排便时间、术后住院时间、术后恶心呕吐程度及并发症发生率均低于常规组(P0.05)。结论 ERAS护理策略能加快腔镜下子宫切除术患者的术后康复,减少术后疼痛和并发症的发生。
[Abstract]:Objective to investigate the accelerated rehabilitation surgery (ERAS) and the clinical application effect of nursing strategies in laparoscopic hysterectomy patients. Methods from January 2016 to February 2017 in our department for laparoscopic hysterectomy in 84 cases, including routine perioperative nursing care of 40 cases (control group), the nursing care of 44 cases (ERAS group ERAS), the two groups of patients with postoperative 24 h, 3 D with digital pain score (NRS) score of two groups were compared before and after surgery (HGB) and albumin (ALB) level and postoperative ambulation time, exhaust time, defecation time, nausea and vomiting, postoperative hospital stay, incidence the rate of postoperative complications. Results in the ERAS group after 24 h and 3 d after operation NRS scores were lower than the normal group (P0.05), ERAS group after 24 h of HGB and ALB levels were higher than that in control group (P0.05), ERAS group, postoperative ambulation time, exhaust time, defecation time, postoperative live Hospital time, postoperative nausea and vomiting and complication rate were all lower than those in the conventional group (P0.05). Conclusion ERAS nursing strategy can accelerate postoperative recovery and reduce postoperative pain and complications.

【作者单位】：温州医科大学附属第一医院;
【分类号】：R473.71
【正文快照】： 子宫切除术是治疗妇科多种疾病的主要手术方式之一,由次日清晨8:00再次给予盐酸昂丹司琼片8 mg,术后6 h即可于手术创伤、失血等多种因素的影响,对患者做好围手术期处开始进饮;(6)术后24 h内要求下地活动。理是患者术后恢复的关键[1]。随着手术理念地不断进步,采1.2.3常规护理

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