加速康复外科理念结合常规护理在食管及胃肠道病变内镜黏膜下剥离术中的应用效果  

Application of Concept of Accelerated Rehabilitation Surgery Combined with Routine Nursing in Endoscopic Submucosal Dissection of Esophageal and Gastrointestinal Lesions

作　　者：吕修竹 穆曹芹[1] Lyu Xiuzhu;Mu Caoqin(Department of Endoscopy center,Lianyungang Second People's Hospital,Lianyungang 222000,Jiangsu Province,China)

机构地区：[1]连云港市第二人民医院内镜中心,江苏连云港222000

出　　处：《中外医药研究》2024年第34期108-110,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析对行内镜黏膜下剥离术(ESD)的食管及胃肠道病变患者应用加速康复外科理念结合常规护理的效果。方法:选取2020年10月—2023年10月连云港市第二人民医院收治的68例行ESD的食管及胃肠道病变患者为研究对象,采用随机数字表法分为观察组和对照组,各34例。观察组实施加速康复外科理念结合常规护理,对照组实施常规护理。对比两组生命体征、心理状态及护理满意度。结果:入组时,两组收缩压(SBP)、舒张压(DBP)、心率(HR)、血氧饱和度(SpO2)对比,无统计学差异(P>0.05);术中,两组SBP、DBP、HR升高,SpO2降低,观察组优于对照组(P<0.05)。入组时,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分对比,无统计学差异(P>0.05);出院时,两组SAS、SDS评分降低,观察组低于对照组(P<0.05)。观察组护理总满意度高于对照组(P=0.006)。结论:ERAS理念结合常规护理在食管及胃肠道病变患者ESD术中的应用显著,可稳定患者术中生命体征,减轻其负性情绪,提高其满意度。Objective:To analyze the effect of accelerated rehabilitation surgery combined with routine nursing in patients with esophageal and gastrointestinal diseases undergoing endoscopic submucosal dissection(ESD).Methods:Sixty-eight patients with esophageal and gastrointestinal diseases undergoing ESD admitted to Lianyungang Second People's Hospital from October 2020 to October 2023 were selected as the study objects,and were divided into observation group and control group by random number table method,with thirty-four cases in each group.The observation group received accelerated rehabilitation surgery combined with routine nursing,and the control group received routine nursing.The vital signs,psychological state and nursing satisfaction were compared between the two groups.Results:When joining the group,there were no significant differences in systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR)and blood oxygen saturation(SpO2)between the two groups(P>0.05);during the operation,SBP,DBP and HR were increased and SpO2 was decreased in both groups,and the observation group was better than the control group(P<0.05).When joining the group,there was no significant difference in selfrating anxiety scale(SAS)and self-rating depression scale(SDS)scores between the two groups(P>0.05);at discharge,SAS and SDS scores of both groups were decreased,and the observation group was lower than the control group(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group(P=0.006).Conclusion:The application of ERAS concept combined with clinical nursing in ESD operation of patients with esophageal and gastrointestinal diseases is significant,which can stabilize patients'vital signs,reduce their negative emotions and improve their satisfaction.

关 键 词：加速康复外科理念 内镜黏膜下切除术 食管病变 胃肠道病变 

分 类 号：R473.6[医药卫生—护理学]