加速康复外科理念在肾移植患者围术期的应用分析  

Application of enhanced recovery after surgery strategy in perioperative period of kidney transplant patients

作　　者：李红芹[1] 慕晗梦 Li Hongqin;Mu Hanmeng(Department of Urology,the First Hospital of Jilin University,Changchun 130012,Jilin,China)

机构地区：[1]吉林大学第一医院泌尿外二科,吉林长春130012

出　　处：《实用器官移植电子杂志》2020年第3期170-173,共4页Practical Journal of Organ Transplantation(Electronic Version)

摘　　要：目的探讨加速康复外科(enhanced recovery after surgery,ERAS)在肾移植患者围术期的应用方式及临床疗效。方法选取2017年7月-2018年7月在吉林大学第一医院接受肾移植手术的188例尿毒症患者,将其分为对照组及观察组。对照组给予传统的围术期护理措施,观察组给予由医护人员共同制定的围术期加速康复外科护理措施。结果与对照组相比,观察组术后住院天数缩短(P <0.05),焦虑症状自评量表(self-rating anxiety scale,SAS)得分项平均水平低(P <0.05),并发症发生率无统计学差异(P>0.05),住院期间患者满意度无统计学差异(P> 0.05),住院花费减少(P <0.05)。结论 ERAS理念应用于肾移植术后患者围术期管理,将会加速术后康复、缩短住院天数以及减少住院花费。Objective To explore the application and clinical effect of enhanced recovery after surgery(ERAS) strategy in patients undergoing renal transplantation. Methods A total of 188 patients undergoing renal transplantation from July 2017 to July 2018 were assigned into a control group and an intervention group,patients in control group received conventional perioperative care and patients in intervention group received ERAS intervention. Results The intervention group showed lower self-rating anxiety scale(SAS) scores(P < 0.05),experienced shorter postoperative hospital stay(P < 0.05)compared with the control group. The complications and patient satisfaction didn’t show statistical differences(all P > 0.05). Besides,hospitalization costs decreased in intervention group(P < 0.05). Conclusion Application of ERAS concept in perioperative period of renal transplantation accelerated rehabilitation,shortened postoperative hospital stay and decreased costs.

关 键 词：加速康复外科 肾移植 围术期 

分 类 号：R473.6[医药卫生—护理学]