ERAS联合绿色通道在急诊断指患者中的应用  

Application of ERAS combined with green channel in emergency treatment of severed finger patients

作　　者：臧玮娜 田辉 孙红红 刘佳 王德明 ZANG Weina;TIAN Hui;SUN Honghong;LIU Jia;WANG Deming(The 971 Hospital of PLA Navy,Qingdao,266071,China)

机构地区：[1]中国人民解放军海军第九七一医院手外科,山东省青岛市266071

出　　处：《护理实践与研究》2023年第12期1794-1798,共5页Nursing Practice and Research

基　　金：青岛市2021年度医药卫生科研计划项目(编号:2020-WJZD238)。

摘　　要：目的探讨快速康复外科(enhanced recovery after surgery,ERAS)联合绿色通道模式在治疗急诊断指患者中的应用。方法选取2021年1月—2022年2月80例单指断指接受急诊手术的患者,按组间基本特征匹配的原则分为观察组和对照组,每组40例。对照组使用标准的急救通道和普通围术期程序,观察组采取ERAS联合绿色通道模式。分析比照两组的手术等待期、断指成功恢复率、术后不良反应、日常生活能力(activies of daily living,ADL)、视觉模拟评分法(visual analogue scale,VAS)和患者家属对照护工作的满意程度等。结果观察组检验时间、急诊分诊时间、入院到手术的时间均短于对照组,组间比较差异具有统计学意义(P<0.05);观察组断指恢复优良率高于对照组,并发症发生率低于对照组,组间比较差异具有统计学意义(P<0.05);观察组的ADL评分高于对照组,VAS评分低于对照组,组间比较差异均具有统计学意义(P<0.05);观察组患者家属对照护的满意程度优于对照组,组间比较差异具有统计学意义(P<0.05)。结论ERAS与绿色通道结合能够很好地提高患者救治的时间,增加断指的恢复率,缓解患者的忧虑,降低并发症发生率,提高患者家属的满意度。Objective To explore the application of enhanced recovery after surgery(ERAS)combined with green channel in emergency treatment of severed finger patients.Methods To select 80 patients with single finger amputation undergoing emergency surgery from January 2021 to February 2022 were selected and divided into an observation group and a control group based on the principle of matching basic features between groups,with 40 patients in each group.The control group used standard emergency channels and regular perioperative procedures,while the observation group used ERAS combined with green channel mode to analyze and compare the waiting period for surgery,successful recovery rate of severed fingers,postoperative adverse reactions,activities of daily living(ADL),visual analogue scale(VAS),and patient family satisfaction with care work between the two groups.Results The observation group had shorter testing time,emergency triage time,and hospitalization to surgery time compared to the control group,and the differences between the groups were statistically significant(P<0.05).The excellent and good recovery rate of severed fingers in the observation group was higher than that in the control group,the incidence of complications was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).The ADL score in the observation group was higher than that in the control group,the VAS score was lower than that in the control group,and the differences between the groups were statistically significant(P<0.05).The patient family satisfaction with care work in the observation group was better than that in the control group,the difference between the groups was statistically significant(P<0.05).Conclusion The combination of ERAS and the green channel can improve the treatment time of patients,increase the recovery rate of severed fingers,alleviate the anxiety of patients,reduce the incidence of complications,and improve the satisfaction of patients'families.

关 键 词：快速康复外科理念 绿色通道 急诊 断指 救治 

分 类 号：R473.6[医药卫生—护理学]