ERAS理念护理在腰椎管狭窄症围手术期的临床应用  

Clinical application of ERAS concept nursing in perioperative period of lumbar spinal stenosis

作　　者：周兴[1] 曾国华[1] 苏桂娣[1] ZHOU Xing;ZENG Guohua;SU Guidi(Department of Spinal Surgery,the People’s Hospital of Ganzhou,Jiangxi Ganzhou 341000,Jiangxi)

机构地区：[1]赣州市人民医院脊柱外科,江西赣州341000

出　　处：《上海医药》2020年第23期75-77,共3页Shanghai Medical & Pharmaceutical Journal

基　　金：江西省卫生健康委科技计划(项目编号:20192924)。

摘　　要：目的:探究ERAS理念在腰椎管狭窄症围手术期的临床应用。方法:选取腰椎管狭窄症围手术期患者60例,按照不同护理方式分为观察组及对照组各30例。观察组采用ERAS理念护理,对照组采用常规护理。观察两组术后功能恢复情况、住院时间和住院费用、生活质量、并发症发生率等。结果:与对照组相比,观察组的首次下床时间较早、术后当晚疼痛情况较轻,住院时间和住院费用较少,精神状态、生理功能、情感职能、社会功能的生活质量评分较高,并发症发生率较低,差异具有统计学意义(P<0.05)。结论:腰椎管狭窄症围手术期患者采用ERAS理念护理可促进术后功能恢复。Objective:To explore the clinical application of ERAS in the perioperative period of lumbar spinal stenosis.Methods:Sixty patients with lumbar spinal stenosis were divided into an observation group and a control group based on their different nursing methods.The ERAS concept nursing was implemented in the observation group while the routine nursing in the control group.The functional recovery,the time and cost for hospitalization,the quality of life and the incidence of complication were observed.Results:The time for first getting out of bed after operation was earlier,the pain was mild on that night after surgery,the time and cost for hospitalization was less and the scores of quality of life including mental status,physiological function,emotional function and social function were better and the incidence of complications was lower in the observation group than the control group(P<0.05).Conclusion:ERAS concept nursing can promote the postoperative functional recovery of the perioperative patients with lumbar spinal stenosis.

关 键 词：腰椎管狭窄症 围手术期 快速康复外科理念 

分 类 号：R473.6[医药卫生—护理学] R493[医药卫生—临床医学]