电生理适宜技术在经皮肾镜围术期快速康复中的应用研究  

Research on the application of electrophysiological appropriate techniques in perioperative rapid rehabilitation of percutaneous nephroscopy

作　　者：李龙凤 晏致霞 彭恬 邹晓峰 张国玺 LI Long-feng;YAN Zhi-xia;PENG Tian;ZOU Xiao-feng;ZHANG Guo-xi(Department of Urinary Surgery,The First Affiliated Hospital of Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医科大学第一附属医院泌尿外科,江西赣州341000

出　　处：《赣南医学院学报》2024年第1期88-91,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：江西省卫生健康委员会科技计划项目(202210844)。

摘　　要：目的:探讨电生理适宜技术在经皮肾镜围术期快速康复中的应用价值。方法:回顾性分析2022年1月—2023年6月200例行经皮肾镜手术患者的临床资料,按术后干预方式不同分为2组,对照组术后进行常规治疗和护理,观察组在此基础上采用电生理适宜技术低频电刺激干预。比较2组不同时间VAS评分及术后疼痛评分、肠鸣音恢复时间、首次排气排便时间、术后住院天数。结果:2组术后第1次VAS评分差异无统计学意义(P=0.526);观察组术后第2次、第3次、第4次VAS评分均较对照组低(P<0.001);观察组术后首次通气时间、首次排便时间均短于对照组(P<0.001);2组术后第1次听诊肠鸣音差异无统计学意义(P=0.217),观察组术后第2次听诊肠鸣音次数较对照组多(P<0.001);观察组患者术后住院天数短于对照组(P=0.010)。结论:电生理适宜技术能有效预防术后切口疼痛,术后能做到早期下床活动,促进患者早日通气排便,预防术后腹胀的发生,促进患者快速康复,缩短患者术后住院时间,患者满意度高。Objective:To explore the application value of electrophysiological appropriate techniques in perioperative rapid rehabilitation of percutaneous nephroscopy.Methods:A total of 200 patients who underwent percutaneous nephroscopy surgery in our hospital from January 2022 to June 2023 were selected as the research subjects.They were randomly divided into control group and observation group according to different postoperative intervention,with 100 cases in each group.The control group received routine treatment and care after surgery,while the experimental group received low-frequency electrical stimulation intervention using appropriate electrophysiological techniques based on the routine of the control group.The postoperative pain score,recovery time of bowel sounds,time of first exhaust and defecation,and postoperative hospitalization days between the two groups were compared.Results:The first postoperative VAS score between the two groups was with no statistical significance(P=0.526),while the secong,third and forth VAS scores were lower in the observation group than those in the control group(.P<0.001).The time of first exhaust and defecation in the observation group were shorter than those in the control group(P<0.001).The first auscultation of postoperative bowel sounds between the two groups were with no statistical significance(P=0.217).The second auscultation of postoperative bowel sounds time was more in the observartion group than that in the control group(P<0.001).The hospital stay in the onservation group was shorter than that in the control group(P=0.010).Conclusion:Appropriate electrophysiological techniques can effectively prevent postoperative incision pain,achieve early mobilization after surgery,promote early ventilation and defecation,prevent postoperative abdominal distension,accelerate recovery,shorten postoperative hospitalization time,and achieve higher patient satisfaction.

关 键 词：电生理适宜技术 肾切开取石术 经皮 围手术期 术后加速康复 低频 刺激 

分 类 号：R473.6[医药卫生—护理学]