加速康复外科联合中医特色干预护理在妇科腹腔镜患者围手术期中的应用  

Application of Enhanced Recovery after Surgery Combined with TCM-featured Intervention Nursing in Patients Undergoing Gynecological Laparoscopic Surgery During Perioperative Period

作　　者：徐佩风[1] 王伟[1] 郭秋燕[1] XU Peifeng;WANG Wei;GUO Qiuyan(Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院,新疆乌鲁木齐830001

出　　处：《西部中医药》2023年第12期125-128,共4页Western Journal of Traditional Chinese Medicine

基　　金：新疆维吾尔自治区自然科学基金(2018D01C103);新疆维吾尔自治区人民医院科技引进创新项目(20180107)。

摘　　要：目的:探索加速康复外科(enhanced recovery after surgery,ERAS)联合中医特色干预护理在妇科腹腔镜患者围手术期中的应用价值。方法:选择行腹腔镜手术的患者200例,将其随机分为观察组及对照组,每组100例。对照组予以传统围手术期护理,观察组采用ERAS及中医康复干预进行围手术期处理,对比两组患者空腹血糖水平,术前饥饿感、睡眠、乏力、焦虑自评量表(self-rating anxiety scale,SAS)评分,术后肠鸣音恢复时间、肛门排气时间、肛门排便时间及下床活动时间。结果:两组患者手术时间及术中出血量差异无统计学意义(P>0.05)。观察组患者空腹血糖水平高于对照组,观察组患者术前饥饿感、睡眠不佳、乏力发生率,术前SAS评分均低于对照组(P<0.05)。观察组术后肠鸣音恢复时间、肛门排气时间、肛门排便时间及下床活动时间均短于对照组(P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论:采用ERAS及中医康复干预对妇科腹腔镜患者进行围手术期处理结合了中西医的优势,相互协调促进了患者术后的快速康复。Objective:To investigate application values of enhanced recovery after surgery(ERAS)com-bined with TCM-featured intervention nursing in patients undergoing gynecological laparoscopic surgery during perioperative period.Methods:All 200 patients undergoing laparoscopic surgery were selected and randomized into the observation group and the control group with 100 cases in each group.The control group accepted traditional perioperative nursing care and the observation group ERAS and TCM rehabilitation intervention,to compare the levels of fasting blood glucose,preoperative hunger,sleep,weakness,SAS scores,recovery time of postoperative bowel sounds,anal exhaust time,anal defecation time and the time of the first off-bed activity after surgery between both groups.Results:The difference had no statistical meaning in operating time and intra-operative hemorrhage volume between both groups(P>0.05).The observation group was apparently higher than the control group in the levels of fasting blood glucose,the incidences of preoperative hunger,poor sleep and weakness,SAS scores before the surgery of the observation group were remarkably lower than these of the control group(P<0.05).Recovery time of postoperative bowel sounds,anal exhaust time,anal defecation time and the time of the first off-bed activity after surgery of the observation group were remarkably shorter than these of the control group(P<0.05).The observation group was lower than the control group in the incidence of adverse reaction(P<0.05).Conclusion:ERAS joined with TCM-featured intervention nursing for the patients undergoing gynecological laparoscopic surgery during perioperative period combines the advantages of Traditional Chinese and Western medicine,and promotes the patients'rapid recovery after the surgery in mutual coordination.

关 键 词：加速康复外科 中医特色干预护理 妇产科 腹腔镜手术 围术期护理 

分 类 号：R473.6[医药卫生—护理学]