加速康复外科麻醉理念在臂丛损伤围术期的应用  

Application of Enhanced Recovery after Surgery During Perioperative Period in Brachia Plexus Injury

作　　者：王雪湖 崔娓[1] 张弛[1] 

机构地区：[1]上海市静安区中心医院,上海200020

出　　处：《中国初级卫生保健》2017年第4期90-91,共2页Chinese Primary Health Care

摘　　要：目的探讨加速康复外科理念指导下的围术期处理措施应用于臂丛损伤的可行性及有效性。方法选择上海市静安区中心医院2015年3月-2016年9月收治的120例臂丛损伤的患者,随机分为加速康复组(ERAS组,n=60)和常规组(n=60),ERAS组采用快速康复外科理念指导下的围术期处理方法,常规组采用传统的围术期处理方法,比较两组患者术后恢复自主呼吸时间,拔除气管导管时间、苏醒时间、术后恶心呕吐和术后躁动的发生情况,术后VAS评分及住院总费用。结果与常规组相比,ERAS组术后苏醒时间和拔管时间缩短,术后恶心呕吐,术后躁动发生率降低(P<0.05)。结论加速康复外科理念在臂丛损伤围术期处理中的应用可行、有效,可缩短患者的恢复时间,增加患者的舒适度和满意度。OBJECTIVE To explore the practicability and effectiveness of enhanced recovery after surgery （ERAS） during perioperative period in braehia plexus injury. METHODS 120 patients with brachia plexus damage were selected from the Central Hospital of Shanghai Jingan Distirct during Mar. 2015 and Sep. 2016. These patients were divided into ERAS group （n=60） and control group （n= 60）. ERAS group received ERAS treatment during the perioperative period, and the control group received traditional treatment. Recovery of spontaneous breathing time, extubation time, anesthesia awake time,incidence of postoperative agitation postoperative lactate clearance rate, VAS score and complieationswere compared between the two groups. RESULTS All the 120 patients were improvement. Compared with control group, patients in ERAS group got shortened anesthesia recovery time and extuhation time, and markedly shortened venting and defecation time decreased obviously （P〈0.05）. CONCLUSION It was feasible and efficient to use ERAS during perioperative period in brachia plexus injury, and could accelerate the recovery.improve patient comfort and satisfaction.

关 键 词：臂丛损伤 加速康复外科 围术期麻醉管理 

分 类 号：R972[医药卫生—药品]