ERAS护理对脑动脉瘤介入栓塞患者术后早期恢复及预后的影响  

Effect of ERAS nursing on early recovery and prognosis of cerebral aneurysm patients after interventional embolization

作　　者：常裕[1] 梁俊丽[1] 黄红芳 CHANG Yu;LIANG Junli;HUANG Hongfang(Department of Radiology,The First Affiliated Hospital of Guangxi Medical University,Nanning Guangxi 530000)

机构地区：[1]广西医科大学第一附属医院放射科,广西南宁530000

出　　处：《当代医药论丛》2022年第22期192-194,共3页

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(编号:Z20201269)。

摘　　要：目的:以脑动脉瘤介入栓塞者为对象,探究快速康复外科(ERAS)护理的应用效果。方法:选取2020年3月至2021年5月期间广西医科大学第一附属医院接诊的330例行介入栓塞治疗的脑动脉瘤患者为对象,以数字号(1~330)随机分设组别,即对照组、观察组,每组例数165例。对照组患者选择行常规护理干预,观察组患者选择行ERAS护理干预。以症状消失时间、住院时间、Barthel评分、NIHSS评分为判定指标,对不同方法护理后的效果进行分析。结果:相较于对照组,观察组头痛、呕吐症状消失的时间、住院时间均更短(P<0.05)。干预前,两组的Barthel评分、NIHSS评分相比差异不大(P>0.05)。干预后,观察组的Barthel评分高于对照组,NIHSS评分低于对照组(P<0.05)。结论:对行介入栓塞治疗的脑动脉瘤患者予以ERAS护理的效果较好,可加快患者机体恢复,改善神经功能缺损,提高生活自理能力,缩短住院时间。Objective:To explore the application effect of Enhanced recovery after surgery(ERAS)nursing in patients with cerebral aneurysm embolization.Methods:A total of 330 cerebral aneurysm patients who received interventional embolization treatment in the First Affiliated Hospital of Guangxi Medical University from March 2020 to May 2021 were selected as the objects.The patients were randomly divided into control group and observation group by number(1-330),with 165 cases in each group.Patients in the control group chose routine nursing intervention,while patients in the observation group chose ERAS nursing intervention.The effects of different nursing methods were analyzed with the time of symptom disappearance,length of hospital stay,Barthel score and NIHSS score as the criteria.Results:Compared with the control group,the headache,vomiting symptoms disappeared in the observation group and the length of hospital stay were shorter(P<0.05).Before intervention,there was no significant difference in Barthel score and NIHSS score between the two groups(P>0.05).After intervention,the Barthel score of the observation group was higher than that of the control group,and the NIHSS score was lower than that of the control group(P<0.05).Conclusion:ERAS nursing for cerebral aneurysm patients undergoing interventional embolization has a good effect,which can accelerate the recovery of patients,improve neurological deficits,improve self-care ability,and shorten the length of hospital stay.

关 键 词：介入栓塞 脑动脉瘤 快速康复外科护理 早期恢复 预后 

分 类 号：R473[医药卫生—护理学]