ERAS管理模式联合预防性护理在Budd-Chiari综合征合并肝静脉血栓患者中的应用  

Application of ERAS management model combined with preventive nursing in patients with Budd-Chiari syndrome complicated with hepatic vein thrombosis

作　　者：王桂珍 胡新红 项葆 聂双 WANG Guizhen;HU Xinhong;XIANG Bao;NIE shuang(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中西医结合护理（中英文）》2024年第3期41-44,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨快速康复外科(ERAS)管理模式联合预防性护理在Budd-Chiari综合征(BCS)合并肝静脉血栓行介入治疗患者中的应用。方法选取2018年1月至2022年12月徐州医科大学附属医院收治的366例BCS合并肝静脉血栓患者,采用随机数字表法将其分成2组(各183例),即对照组(常规护理)与观察组(ERAS管理模式联合预防性护理)。比较2组干预后的效果。结果相比于对照组,观察组的各项健康相关认知水平优秀率均更高,并发症总计发生率更低(P均<0.05)。观察组在术中、术后即刻的应激指标均明显低于对照组(P均<0.05)。术后1周,观察组的门静脉血流动力学指标均优于对照组(P均<0.05)。结论对BCS合并肝静脉血栓行介入治疗患者实施ERAS管理模式联合预防性护理,有助于提高其健康相关认知水平,改善应激指标和门静脉血流动力学指标,减少并发症的发生。Objective To explore the application of enhanced recovery after surgery(ERAS)management model combined with preventive nursing in patients with Budd-Chiari syndrome(BCS)complicated with hepatic vein thrombosis undergoing interventional treatment.Methods A total of 366 patients with BCS complicated with hepatic vein thrombosis admitted to the Affiliated Hospital of Xuzhou Medical University from January 2018 to December 2022 were selected and divided into two groups(183 cases each)using a random number table method,namely a control group(routine care)and an observation group(ERAS management model combined with preventive nursing).The effect after intervention was compared between the two groups.Results Compared to the control group,the observation group had a higher rate of excellence in various health-related cognitive levels and a lower total incidence of complications(all P<0.05).During and immediately after surgery,the stress indexes of the observation group were significantly lower than those of the control group(all P<0.05).One week after surgery,the portal vein hemodynamic indicators of the observation group were better than those of the control group(all P<0.05).Conclusion The implementation of ERAS management model combined with preventive nursing for patients with BCS complicated with hepatic vein thrombosis undergoing interventional treatment can help improve their health-related cognitive level,improve stress indexes and portal vein hemodynamic indicators,and reduce the occurrence of complications.

关 键 词：BUDD-CHIARI综合征 肝静脉血栓 快速康复外科管理模式 预防性护理 应激指标 

分 类 号：R473.6[医药卫生—护理学]