基于多学科团队的快速康复外科护理对外伤性颅内血肿清除术后患者康复的影响  

Study on the Positive Significance of ERAS Nursing Based on MDT for Re⁃habilitation of Patients after Removal of Traumatic Intracranial Hema⁃toma

作　　者：吴小凤 宋丽萍[1] 余意 WU Xiaofeng;SONG Liping;YU Yi(Department of Neurology,Qinzhou Second People´s Hospital,Qinzhou,Guangxi Zhuang Autonomous Region,535000,China)

机构地区：[1]钦州市第二人民医院神经科,广西钦州535000

出　　处：《中外医疗》2025年第2期89-93,共5页China & Foreign Medical Treatment

基　　金：钦州市科学研究与技术开发计划项目(20213714)。

摘　　要：目的 分析多学科团队(multidisciplinary team,MDT)合作快速康复外科(enhanced recovery after surgery,ERAS)理念护理对于外伤性颅内血肿清除术患者康复的影响。方法 随机选取2021年7月—2023年2月钦州市第二人民医院神经外科收治的80例外伤性颅内血肿患者为研究对象,患者均接受颅内血肿清除术治疗,根据不同护理方法分为对照组、观察组,各40例。对照组予以常规护理,观察组予以MDT联合ERAS护理,比较两组神经功能、术后并发症、Barthel指数评分。结果 护理后,观察组神经功能评分为(30.53±7.42)分,高于对照组的(24.79±7.07)分,差异有统计学意义(t=3.542,P<0.05)。护理后,两组Barthel指数评分高于护理前,观察组高于对照组,差异均有统计学意义(P均<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论 对于外伤性颅内血肿清除术患者开展MDT联合ERAS护理干预,可减轻对患者神经功能的损害,并进一步改善患者生存质量。Objective To analyze the effect of multidisciplinary team(MDT)cooperative enhanced recovery after surgery(ERAS)concept nursing on the rehabilitation of patients with traumatic intracranial hematoma removal.Methods A total of 80 patients with traumatic intracranial hematoma admitted to the Department of Neurosurgery,Qinzhou Second People´s Hospital from July 2021 to February 2023 were randomly selected as the research objects.All patients were treated with intracranial hematoma removal.According to different nursing methods,they were divided into control group and observation group,with 40 cases in each group.The control group was given routine nursing,and the observation group was given MDT combined with ERAS nursing.The neurological function,postoperative complications and Barthel index scores of the two groups were compared.Results After nursing,the neurological function score of the observation group was(30.53±7.42)points,which was higher than that of the control group(24.79±7.07)points,and the difference was statistically significant(t=3.542,P<0.05).After nursing,the Barthel index scores of the two groups were higher than those before nursing,and the observation group was higher than the control group,the differences were statistically significant(both P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion MDT combined with ERAS nursing intervention for patients with traumatic intracranial hematoma removal can reduce the damage of neurological function and further improve the quality of life of patients.

关 键 词：血肿清除术 外伤性颅内血肿 快速康复外科 多学科团队协作 神经功能 

分 类 号：R47[医药卫生—护理学]