基于加速康复外科理念的围手术期护理在非体外循环冠脉搭桥术患者中的应用  

Effect of perioperative nursing based on enhanced recovery after surgery in patients undergoing off-pump coronary artery bypass

作　　者：孙庆燕[1] 高建萍[1] 焦桂花[2] 王倩华 倪良春[3] Sun Qingyan;Gao Jianping;Jiao Guihua;Wang Qianhua;Ni Liangchun(Operating Room,Affiliated Hospital of Jining Medical University,Jining 272029,China;Interventional Department,Affiliated Hospital of Jining Medical University,Jining 272029,China;Cardiac Surgery Department,Affiliated Hospital of Jining Medical University,Jining 272029,China)

机构地区：[1]济宁医学院附属医院手术室,济宁272029 [2]济宁医学院附属医院介入治疗科,济宁272029 [3]济宁医学院附属医院心脏外科,济宁272029

出　　处：《中华现代护理杂志》2023年第23期3171-3174,共4页Chinese Journal of Modern Nursing

基　　金：山东省中医药科技发展计划项目(2019-0474)。

摘　　要：目的探讨基于加速康复外科(ERAS)理念的围手术期护理在非体外循环冠脉搭桥术(OPCAB)患者中的应用效果。方法采用便利抽样法,选取济宁医学院附属医院2018年1月—2020年2月收治的200例OPCAB患者为研究对象,2018年1月—2019年1月收治的100例患者为对照组,2019年2月—2020年2月收治的100例患者为观察组。对照组采取常规围手术期护理,观察组实施基于ERAS理念的围手术期护理。比较两组术后康复时间。结果观察组术后呼吸机辅助时间、ICU停留时间、肛门排气时间、术后下床时间及术后住院时间均短于对照组,差异有统计学意义(P<0.05)。结论基于ERAS理念的围手术期护理可以加速OPCAB患者术后康复进程,值得临床推广应用。Objective To explore the effect of perioperative nursing based on enhanced recovery after surgery(ERAS)in patients undergoing off-pump coronary artery bypass(OPCAB).Methods From January 2018 to February 2020,200 OPCAB patients admitted to Affiliated Hospital of Jining Medical University were selected as research subjects using convenience sampling method.The 100 patients admitted from January 2018 to January 2019 served as the control group,while the 100 patients admitted from February 2019 to February 2020 served as the observation group.The control group received routine perioperative nursing,while the observation group received perioperative nursing based on the ERAS.The postoperative ventilator assistance time,Intensive Care Unit(ICU)stay time,anal exhaust time,off-bed time after surgery,and postoperative hospital stay time were compared.Results The observation group had shorter postoperative ventilator assistance time,ICU stay time,anal exhaust time,off-bed time after surgery,and postoperative hospital stay time compared to the control group,with statistically significant differences(P<0.05).Conclusions Perioperative nursing based on the ERAS can accelerate the postoperative recovery process of OPCAB patients,which is worthy of clinical promotion and practice.

关 键 词：冠心病 加速康复外科 非体外循环冠脉搭桥术 康复时间 

分 类 号：R473.6[医药卫生—护理学]