围术期快速康复外科理念在动脉瘤性蛛网膜下腔出血中的应用效果  

Application effect of the perioperative ERAS concept in aneurysmal subarachnoid hemorrhage

作　　者：周小莉[1] 崔翱 成洋[1] ZHOU Xiaoli;CUI Ao;CHENG Yang(West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《中国实用神经疾病杂志》2021年第14期1253-1258,共6页Chinese Journal of Practical Nervous Diseases

摘　　要：目的观察快速康复外科理念(ERAS)在动脉瘤性蛛网膜下腔出血(aSAH)围术期的应用效果。方法纳入2018-01—2020-01在四川大学华西医院行血管内介入栓塞术治疗的aSAH患者90例,干预组与对照组各45例,对照组给予围术期常规护理,干预组实施围术期ERAS护理,评估2组心理状态、疼痛程度、并发症、术后恢复情况、住院费用及护理满意度。结果护理前2组SAS、SDS及VAS评分比较无显著差异(P>0.05),2组护理后SAS、SDS及VAS评分较护理前均降低,干预组低于对照组(P<0.05);干预组并发症发生率(15.55%)低于对照组(35.55%,P<0.05);干预组下床活动时间早于对照组,住院时间短于对照组,住院费用少于对照组(P<0.05);干预组护理满意率(100.00%)显著高于对照组(82.22%,P<0.05)。结论将ERAS理念应用于aSAH围术期,可明显减轻患者负性情绪、疼痛程度,减少并发症,缩短治疗时间,降低住院费用,提升护理满意度。Objective To observe the effect of implementing the concept of rapid rehabilitation surgery(ERAS)in the perioper⁃ative period of aneurysmal subarachnoid hemorrhage(aSAH).Methods From January 2018 to January 2020,90 patients with aSAH who underwent endovascular embolization in West China Hospital of Sichuan University were selected and divided into intervention group and control group(45 cases in each),and control group perioperative routine care was given,and the intervention group imple⁃mented perioperative ERAS care to evaluate the mental state,pain degree,complications,postoperative recovery,hospitalization expens⁃es and nursing satisfaction of the two groups.Results Before nursing,there was no significant difference in the scores of SAS,SDS and VAS between the two groups(P>0.05).The scores of SAS,SDS and VAS after nursing in the two groups were all lower than be⁃fore nursing,and the intervention group was lower than the control group(P<0.05).The complication rate of the intervention group(15.55%)was lower than that of the control group(35.55%,P<0.05);the intervention group’s time to get out of bed was earlier than the control group,the hospital stay was shorter than the control group,and the hospitalization expenses were less than the control group(P<0.05);the nursing satisfaction rate of the intervention group(100.00%)was significantly higher than that of the control group(82.22%,P<0.05).Conclusion ERAS to the perioperative period of aSAH can significantly reduce the negative emotion and pain of patients,reduce complications,shorten treatment time,reduce hospitalization costs,and improve nursing satisfaction.

关 键 词：动脉瘤 蛛网膜下腔出血 围术期 加速康复外科理念 

分 类 号：R473.74[医药卫生—护理学]