학술논문
加速康复外科多环节管理体系应用于胸腔镜肺切除术患者的临床效果 / Clinical Effect of Enhanced Recovery after Surgery Multi-link Management System Applied to Patients with Thoracoscopic Pneumonectomy
Document Type
Academic Journal
Author
Source
中外医学研究 / Chinese and Foreign Medical Research. 21(34):163-166
Subject
Language
Chinese
ISSN
1674-6805
Abstract
目的:观察探讨加速康复外科(ERAS)多环节管理体系应用于胸腔镜肺切除术患者的临床效果.方法:选择2021 年 4 月—2023 年 3 月三明市第二医院收治的 110 例行胸腔镜肺切除术患者,按照随机数表法分成两组,各 55 例.对照组给予常规护理,研究组给予ERAS多环节管理体系护理.比较两组术后不同时间段的疼痛评分、舒适度评分,统计围手术期指标、术后并发症发生率及护理满意度.结果:术后 6 h,两组疼痛评分、舒适度评分比较,差异无统计学意义(P>0.05);术后 12 h、24 h、72 h,两组疼痛评分及舒适度评分均高于术后 6 h,但研究组疼痛评分低于对照组,舒适度评分高于对照组,差异有统计学意义(P<0.05).两组手术时间及术中出血量比较,差异无统计学意义(P>0.05),而研究组禁食时间、胸管留置时间均短于对照组,差异有统计学意义(P<0.05).研究组术后并发症发生率为 1.82%,低于对照组的 14.55%,差异有统计学意义(P<0.05);研究组总满意度为 100.00%,高于对照组的 89.09%,差异有统计学意义(P<0.05).结论:胸腔镜肺切除术患者围手术期给予ERAS多环节管理体系护理,可减轻术后疼痛,提升舒适度,降低术后并发症发生率,提升满意度,效果理想.
Objective:To observe and analyze the clinical effect of enhanced recovery after surgery(ERAS)multi-link management system in patients with thoracoscopic pneumonectomy.Method:A total of 110 patients with thoracoscopic pneumonectomy admitted to the Second Hospital of Sanming from April 2021 to March 2023 were selected and divided into two groups according to random number table method,with 55 cases in each group.The control group was given routine nursing,and the study group was given ERAS multi-link management system nursing.The pain scores and comfort scores of the two groups were compared in different time periods,perioperative indexes,incidence of postoperative complications and nursing satisfaction were counted.Result:At 6 h after surgery,there were no significant differences in pain score and comfort score between the two groups(P>0.05).At 12 h,24 h and 72 h after surgery,the pain scores and comfort scores of both groups were higher than those of 6 h after surgery,but the pain scores of the study group were lower than those of the control group,and the comfort scores were higher than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the surgery time and intraoperative blood loss between the two groups(P>0.05),while the fasting time and chest tube retention time in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 1.82%,which was lower than 14.55%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the study group was 100.00%,which was higher than 89.09%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Perioperative ERAS multi-link management system nursing for patients with thoracoscopic pneumonectomy can alleviate postoperative pain,improve comfort,reduce postoperative complications,and improve satisfaction,with ideal results.
Objective:To observe and analyze the clinical effect of enhanced recovery after surgery(ERAS)multi-link management system in patients with thoracoscopic pneumonectomy.Method:A total of 110 patients with thoracoscopic pneumonectomy admitted to the Second Hospital of Sanming from April 2021 to March 2023 were selected and divided into two groups according to random number table method,with 55 cases in each group.The control group was given routine nursing,and the study group was given ERAS multi-link management system nursing.The pain scores and comfort scores of the two groups were compared in different time periods,perioperative indexes,incidence of postoperative complications and nursing satisfaction were counted.Result:At 6 h after surgery,there were no significant differences in pain score and comfort score between the two groups(P>0.05).At 12 h,24 h and 72 h after surgery,the pain scores and comfort scores of both groups were higher than those of 6 h after surgery,but the pain scores of the study group were lower than those of the control group,and the comfort scores were higher than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the surgery time and intraoperative blood loss between the two groups(P>0.05),while the fasting time and chest tube retention time in the study group were shorter than those in the control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the study group was 1.82%,which was lower than 14.55%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the study group was 100.00%,which was higher than 89.09%of the control group,and the difference was statistically significant(P<0.05).Conclusion:Perioperative ERAS multi-link management system nursing for patients with thoracoscopic pneumonectomy can alleviate postoperative pain,improve comfort,reduce postoperative complications,and improve satisfaction,with ideal results.