加速康复外科理疗对老年慢性硬膜下血肿患者疗效影响  

Effects of enhanced recovery after surgery on elderly patients with chronic subdural hematoma

作　　者：陆波 陈刚[1] 莫永彪 龙飞[1] 康睿[1] 贾孝军 王远华[1] 唐雄伟[1] 吴军[1] LU Bo;CHENG Gang;MO Yongbiao;LONG Fei;KANG Rui;JIA Xiaojun;WANG Yuanhua;TANG Xiongwei;WU Jun(Department of Neurosurgery,Hechuan District People′s Hospital,Chongqing 401520,China)

机构地区：[1]重庆市合川区人民医院神经外科,重庆401520

出　　处：《检验医学与临床》2020年第19期2788-2790,2794,共4页Laboratory Medicine and Clinic

基　　金：重庆市卫生和计划生育委员会医学科研项目(2017ZBXM032);重庆市合川区科学技术委员会项目(HCKW-2017-45)。

摘　　要：目的探讨加速康复外科理疗对老年慢性硬膜下血肿患者疗效影响。方法将2016年1月至2019年12月于该院治疗的≥65周岁慢性硬膜下血肿患者70例随机分为加速康复理疗组和传统治疗组,每组35例,比较分析两组临床效果、患者疼痛评分、术后住院时间、住院费用及并发症发生率。结果加速康复理疗组术后6 h,第1、2天疼痛评分低于传统治疗组,差异均有统计学意义(P<0.05),但两组术后第3、4、5天疼痛评分比较,差异均无统计学意义(P>0.05)。两组术后住院时间、住院费用和并发症发生率比较,差异均有统计学意义(P<0.05)。结论加速康复外科理念应用于硬膜下血肿老年患者可减轻早期疼痛,缩短患者住院时间,减少住院费用,减少并发症发生率,改善患者就医感受。Objective To investigate the effects of enhanced recovery after surgery on elderly patients with chronic subdural hematoma.Methods From January 2016 to December 2019,70 patients with chronic subdural hematoma over 65 years old in our hospital were randomly divided into enhanced recovery after surgery treatment group,35 cases in each group.Results The pain scores at 6 h,1 and 2 d after operation in the enhanced recovery after surgery treatment group were lower than those in the traditional treatment group(P<0.05),but there was no significant difference in the pain scores on the 3,4 and 5 d after operation between the two groups(P>0.05).There were statistically significant differences in postoperative hospital stay,hospitalization expenses and incidence of complications between the two groups(P<0.05).Conclusion The application of enhanced recovery after surgery in elderly patients with subdural hematoma can reduce the early pain,shorten the hospitalization time,reduce the cost of hospitalization,reduce the incidence of complications,and improve the patient′s medical experience.

关 键 词：慢性硬膜下血肿 加速康复外科理疗 手术治疗 

分 类 号：R651.15[医药卫生—外科学]