基于ERAS模式在脑瘫患儿SPR围手术期护理的应用效果  

Application of ERAS concept in perioperative nursing of children with cerebral palsy

作　　者：杨培娥 马瑞 张欢 杨洁冰 许菊芳[1] YANG Pei-e;MA Rui;ZHANG Huan;YANG Jie-bing;XU Ju-fang(The Second Affiliated Hospital of Xinjiang Medical University,Urumqi,830092,China)

机构地区：[1]新疆医科大学第二附属医院,乌鲁木齐830092

出　　处：《新疆医学》2021年第9期1073-1075,1029,共4页Xinjiang Medical Journal

基　　金：新疆护理学会科研项目(项目编号:2018XH22);国家自然科学基金(项目编号:81660202)。

摘　　要：目的探索加速康复外科理念在脑瘫患儿SPR术围手术期护理的应用效果。方法选取本院脑瘫手术康复中心2019年1~5月住院实施快速康复理念下SPR手术的82例痉挛性脑瘫患儿为观察组;2018年6~12月行传统SPR手术的98例痉挛性脑瘫患儿作为对照组,比较两组脑瘫SPR患儿一般情况、围手术期、术后康复临床观察指标。结果观察组手术时间(min)124.37±8.16、术中出血量(ml)15.80±2.24、术后住院时间(d)16.83±2.70、术后绝对卧床时间(d)8.23±0.57、术后康复介入时间(d)2.43±0.54、术后床上坐位训练时间(d)7.17±0.46、术后床边站立训练时间(d)9.12±0.57、术后行走训练时间(d)11.33±0.71,与对照组有差异,有统计学意义(P<0.05);术后并发症有差异,统计学有意义(χ^(2)=34.8 P<0.01);满意度有差异,统计学有意义(χ^(2)=51.56 P<0.01)。结论快速康复理念在脑瘫患儿SPR术围手术期护理的应用,可以加速脑瘫患儿SPR患儿术后康复时机,减少术后并发症,提高脑瘫SPR患儿及家属满意度,夯实康复疗效。Objective To explore the application effect of accelerated rehabilitation surgical concept in perioperative nursing of children with cerebral palsy after SPR.Methods 82 cases with cerebral palsy treated with SPR under the concept of rapid rehabilitation were selected as the observation group in the cerebral palsy surgery rehabilitation center of our hospital from January to May 2019.A total of 98 children with SPR who underwent traditional SPR surgery from June to December 2018 were chosen as control group.The general situation,perioperative period and postoperative rehabilitation indexes of SPR children between two groups were compared.Results In the observation group,operating time was 124.37+/-8.16 minutes,intraoperative blood loss was 15.80+/-2.24 ml,postoperative length of hospital stay was 16.83+/-2.70 days,the absolute bed time was 8.23+/-0.57 days,duration of postoperative rehabilitation intervention was 2.43+/-0.54 days.postoperative bed time was 7.17+/-0.46 days.Postoperative bed stand training time was 9.12+/-0.57 days.Postoperative walking training time was 11.33+/-0.71 days.All data had significant differences compared with the control group(P<0.05).Postoperative complications were significantly different between two groups(χ^(2)=34.8,P<0.01).There were statistically significant differences in satisfaction between two groups(χ^(2)=51.56,P<0.01).Conclusion The application of the concept of rapid rehabilitation in perioperative nursing of cerebral palsy children with SPR can accelerate the postoperative rehabilitation opportunity of cerebral palsy children with SPR,reduce postoperative complications,improve the satisfaction of cerebral palsy children with SPR and their famlies,and consolidate the rehabilitation effect.

关 键 词：加速康复外科 脑瘫患儿SPR术 围手术期 护理 

分 类 号：R437.3[医药卫生—临床医学]