快速康复在腔内射频消融联合泡沫硬化及抽剥术治疗静脉曲张患者中的应用  

Application of enhanced recovery in treatment of patients with varicose veins by intraluminal radiofrequency ablation combined with foam sclerotherapy and stripping

作　　者：李莹莹 孙海云 王红梅 孙振阳 Li Yingying;Sun Haiyun;Wang Hongmei;Sun Zhenyang(No.1 Department of General Surgery,No.2 People's Hospital of Fuyang City of Anhui Province,Fuyang 236015,China;Department of Nursing,No.2 People's Hospital of Fuyang City of Anhui Province,Fuyang 236015,China;Operation Room,No.2 People's Hospital of Fuyang City of Anhui Province,Fuyang 236015,China;Department of Vascular Surgery,No.2 People's Hospital of Fuyang City of Anhui Province,Fuyang 236015,China)

机构地区：[1]安徽省阜阳市第二人民医院普外一科,236015 [2]安徽省阜阳市第二人民医院护理部,236015 [3]安徽省阜阳市第二人民医院手术室,236015 [4]安徽省阜阳市第二人民医院血管外科,236015

出　　处：《中华现代护理杂志》2021年第28期3903-3907,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨快速康复在腔内射频消融联合泡沫硬化及抽剥术治疗静脉曲张患者中的应用效果。方法采用便利抽样法选取安徽省阜阳市颍州区第二人民医院经腔内射频消融联合泡沫硬化及抽剥术治疗的81例静脉曲张患者为研究对象,将2018年10月—2019年6月收治的40例为对照组,实施常规护理,将2019年7月—2020年9月收治的41例为观察组,实施快速康复护理。比较两组患者术后恢复情况、弹力袜执行情况、并发症发生情况、康复知识掌握情况。结果观察组术后下床活动时间、小腿麻木消失时间、住院时间短于对照组,术后24 h的疼痛评分低于对照组,差异有统计学意义(P<0.05)。观察组弹力袜执行情况优于对照组,术后并发症的总发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后在药物使用、功能锻炼、弹力袜使用等康复知识掌握方面优于对照组,差异有统计学意义(P<0.05)。结论将快速康复外科理念融入腔内射频消融联合泡沫硬化及抽剥术的治疗中能够进一步发挥微创优势,促进静脉曲张患者的术后恢复,改善手术治疗体验。Objective To explore the effects of enhanced recovery in the treatment of patients with varicose veins by intraluminal radiofrequency ablation combined with foam sclerotherapy and stripping.Methods Totally 81 patients with varicose veins who underwent intraluminal radiofrequency ablation combined with foam sclerotherapy and stripping at No.2 People's Hospital of Yingzhou District of Fuyang City of Anhui Province were selected by the convenient sampling method.A total of 40 patients admitted from October 2018 to June 2019 were included into the control group,who received routine care,while 41 patients admitted between July 2019 and September 2020 were included into the observation group,who received enhanced recovery care.The postoperative recovery,the implementation of elastic stockings,occurrence of complications,and the mastery of rehabilitation knowledge were compared between the two groups of patients.Results The time to get out of bed after surgery,the disappearance of calf numbness,and the hospital stay in the observation group were shorter than those in the control group,and the pain score at 24 hours after surgery was lower than that of the control group,with statistically significant differences(P<0.05).The implementation of elastic stockings in the observation group was better than that in the control group,and the total incidence of postoperative complications was lower than that in the control group,and the differences were statistically significant(P<0.05).The observation group was better than the control group in terms of drug use,functional exercise,use of elastic stockings,and other rehabilitation knowledge after surgery,and the difference was statistically significant(P<0.05).Conclusions Integrating the concept of enhanced recovery after surgery into the treatment with intraluminal radiofrequency ablation combined with foam sclerotherapy and stripping can further exert the advantages of minimally invasive surgery,promote postoperative recovery of patients with varicose veins,and enhance surgical

关 键 词：静脉曲张 腔内射频消融 泡沫硬化 快速康复 术后康复 

分 类 号：R473.6[医药卫生—护理学]