ERAS理念下女性开颅手术患者切口周边微范围备皮法的应用效果  

Application Effect of Micro-Perioperative Skin Preparation Method Around the Incision in Female Craniotomy Patients Under the ERAS Concept

作　　者：林琳[1] 王圣进 严滢 傅骏 颜小荣[3] LIN Lin;WANG Shengjin;YAN Ying;FU Jun;YAN Xiaorong(Department of Nursing,the First Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350001,China;Department of Neurology,the First Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350001,China;Department of Neurosurgery,the First Affiliated Hospital of Fujian Medical University,Fuzhou Fujian 350001,China)

机构地区：[1]福建医科大学附属第一医院护理部,福建福州350001 [2]福建医科大学附属第一医院神经内科,福建福州350001 [3]福建医科大学附属第一医院神经外科,福建福州350001

出　　处：《中国卫生标准管理》2023年第24期180-184,共5页China Health Standard Management

基　　金：福建省科技计划项目(2020Y0026)。

摘　　要：目的探讨基于加速康复外科(enhanced recovery after surgery,ERAS)理念下女性开颅手术患者切口周边微范围备皮法的应用实践效果。方法回顾性分析2021年5月—2022年5月在福建医科大学附属第一医院神经外科进行开颅手术的100例女性肿瘤患者,其中对照组和观察组各50例,对照组采用传统全头备皮法,观察组采取基于ERAS理念下切口周边微范围备皮法。比较两组患者一般情况、备皮时间、重复备皮、切口愈合情况、颅内感染发生率、备皮满意度以及焦虑评分的差异。结果两组患者手术时间、出血量、住院时间、切口愈合情况、颅内感染发生率比较,差异无统计学意义(P>0.05);两组患者备皮时间、重复备皮、综合备皮满意度及焦虑评分比较,差异有统计学意义(P<0.05)。结论基于ERAS理念下切口周边微范围备皮法不仅没有影响开颅手术患者切口愈合情况以及颅内感染发生率,反而还提高了患者备皮满意度,减轻患者心理和生理负担,加快回归社会生活。Objective To explore the application and practical effects of micro-perioperative skin preparation method around the incision in female craniotomy patients under the enhanced recovery after surgery(ERAS)concept.Methods A retrospective analysis was performed on 100 female tumor patients who underwent craniotomy in the department of neurosurgery,the First Affiliated Hospital of Fujian Medical University from May 2021 to May 2022.Among them,there were 50 cases in the control group and 50 cases in the observation group.The control group used the traditional full-head skin preparation method,while the observation group adopted the micro-perioperative skin preparation method around the incision based on the ERAS concept.Differences in general patient conditions,skin preparation time,repeated skin preparation,incision healing status,intracranial infection rate,skin preparation satisfaction,and anxiety scores were compared between the two groups.Results There was no significant difference in operation time,blood loss,hospital stay,incision healing and incidence of intracranial infection between the two groups(P>0.05).There were significant differences in skin preparation time,repeated skin preparation,skin preparation satisfaction and anxiety scores between the two groups(P<0.05).Conclusion The micro-perioperative skin preparation method based on the ERAS concept had no negative impact on the incision healing and intracranial infection rate of patients undergoing craniotomy surgery.On the contrary,it increased patient satisfaction with skin preparation,reduced psychological and physiological burdens,and accelerated the return to social life.

关 键 词：皮肤准备 加速康复外科 开颅手术 切口愈合 颅内感染 满意度 

分 类 号：R473[医药卫生—护理学]