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Clinical Study of Applying Enhanced Recovery after Surgery Concept in Single-Segment Lumbar Spinal Stenosis Surgery
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作者 Yinwen Mai Weikang Yang +3 位作者 Yuanjian Huang Wanxia Lu Guosheng Su Chengkua Huang 《Open Journal of Therapy and Rehabilitation》 2024年第3期263-273,共11页
Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surge... Objective: With the aging population and changes in lifestyle, lumbar spinal stenosis has become a common spinal disorder. Treatment modalities have been advancing, and the application of Enhanced Recovery After Surgery (ERAS) principles provides a new approach to postoperative recovery in patients. This study aims to investigate the clinical application effects of ERAS principles in single-level lumbar spinal stenosis surgery. Methods: This study included 64 patients who underwent lumbar fusion surgery in the Spinal Surgery Department of Baise People’s Hospital from July 2022 to July 2024. These patients were divided into an experimental group (ERAS group, 33 cases) and a control group (conventional group, 31 cases) based on perioperative care, receiving ERAS principles and traditional treatment, respectively. A comparison was made between the two groups in terms of gender, age, BMI, intraoperative blood loss, postoperative length of hospital stay, postoperative complications, hospital costs, VAS scores (preoperative/postoperative day 3), and ODI scores (preoperative/postoperative day 3). Results: There were no significant differences in gender, age, and BMI between the ERAS group and the conventional group (gender: χ2 = 0.5008, P = 0.4792;age: 54.55 ± 8.51 years vs. 57.39 ± 8.16 years, P = 0.0892;BMI: 25.11 ± 2.70 vs. 24.77 ± 2.75, P = 0.3098). However, during surgery, patients in the ERAS group had significantly less blood loss than those in the conventional group (197.58 ± 195.51ml vs. 438.71 ± 349.22 ml, P = 0.0006), and the postoperative length of hospital stay was significantly shorter (7.00 ± 2.24 days vs. 11.55 ± 5.23 days, P = 0.0000). On postoperative day 3, VAS scores were significantly better in the ERAS group compared to the conventional group (3.70 ± 0.88 vs. 4.32 ± 0.87, P = 0.0031), and the ODI scores showed significant improvement as well (46.00 ± 3.04 vs. 48.00 ± 3.39, P = 0.0078). Although there were no significant differences in postoperative complications and hospital costs (complications: 3 cases vs. 0 cases, P = 0.2154;hospital costs: 63524.29 ± 17891.80 RMB vs. 58733.84 ± 13280.82 RMB, P = 0.1154), ERAS demonstrated better postoperative recovery outcomes in single-level lumbar spinal stenosis surgery. Conclusion: The study results support the implementation of ERAS principles in single-level lumbar spinal stenosis surgery to promote rapid recovery, reduce healthcare resource consumption, and improve overall patient satisfaction. 展开更多
关键词 enhanced Recovery after surgery concept Single-Segment Lumbar Spinal Stenosis Perioperative Period VAS Score ODI Score
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Perioperative nursing principles guided by the concept of enhanced recovery after surgery 被引量:3
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作者 Hong-Jie Xie Fan Cui Wei-Bing Shuang 《Frontiers of Nursing》 CAS 2021年第1期1-6,共6页
Objective:To explore the clinical effect of perioperative nursing guided by the concept of enhanced recovery after surgery and summarize them.Methods:Pubmed,Chinese National Knowledge Infrastructure(CNKI),Chinese Biom... Objective:To explore the clinical effect of perioperative nursing guided by the concept of enhanced recovery after surgery and summarize them.Methods:Pubmed,Chinese National Knowledge Infrastructure(CNKI),Chinese Biomedical Literature Database(CBM),Wanfang Database,and VIP Database were searched to obtain the relevant literature involving enhanced recovery after surgery(ERAS)guidance,obtain the effective clinical data,review the reports in literature,and obtain the effective scheme.Results:Compared with the traditional nursing program,perioperative nursing principles guided by the concept of ERAS provide more accurate nursing care to patients and reduce the occurrence of intraoperative stress events through comprehensive nursing measures such as preoperative pre-rehabilitation measures,intraoperative body temperature and fluid management,postoperative analgesia,prevention of nausea and vomiting,early mobilization,catheter nursing,and better out-of-hospital follow-up.Conclusions:Perioperative nursing principles guided by the concept of ERAS can significantly reduce the incidence of perioperative complications,shorten the hospital stay of patients,and promote postoperative rehabilitation of patients.The transformation and implementation of this concept can bring significant benefits to hospitals,medical care,and patients. 展开更多
关键词 enhanced recovery after surgery perioperative care prehabilitation measures intraoperative optimization measures postoperative rehabilitation measures
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Impact of fast-track surgery on perioperative care in patients undergoing hepatobiliary surgery
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作者 Xiao-Hong Wang Fang-Fang Chen +4 位作者 Jia Pan Yun-Fei Jiang Min-Yue Yao Jia-Li Mao Ya-Feng Xu 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第10期3155-3162,共8页
BACKGROUND Fast-track surgery(FTS)is a modern nursing approach that has gained popularity in the perioperative phase of surgery.AIM To investigate the impact of FTS on perioperative care for hepatobiliary surgery.METH... BACKGROUND Fast-track surgery(FTS)is a modern nursing approach that has gained popularity in the perioperative phase of surgery.AIM To investigate the impact of FTS on perioperative care for hepatobiliary surgery.METHODS A retrospective analysis was performed on 98 patients who underwent hepato-biliary surgery and were admitted to our hospital from August 2021 to October 2023.They were divided into an observation group and a control group with 49 patients in each group according to different nursing directions.The control group was treated with standard nursing and the observation group was treated with FTS concept nursing.The length of hospital stay,visual analog scale(VAS)score,wound complications,nursing satisfaction,self-rating scale(SAS)score,and SF-36 quality of life(QoL)score were compared between the two groups before and after care.RESULTS The duration of hospitalization,hospitalization cost,operation time,first im-plantation time,exhaust time,and first defecation time were shorter than the observation group(P<0.05).Additionally,the observation group showed a sig-nificant difference between the VAS and SAS scores on days 1,3,and 7(P<0.05).The complication rate in the observation group was 4.05%was significantly lower than the 18.36%in the control group,and the comparison groups were statistically significant(χ2=5.018,P=0.025).The observation group had a significantly higher level of nurse satisfaction(94.92%)than the control group(79.59%;χ2=6.078,P=0.014).Both groups showed higher QoL scores after nursing care,with higher scores in the observation group than in the control group(P=0.032).CONCLUSION FTS in patients undergoing hepatobiliary surgery can effectively improve negative mood,QoL,and nursing sa-tisfaction;reduce wound complications;and accelerate patient rehabilitation. 展开更多
关键词 Rapid rehabilitation surgery concept Hepatobiliary surgery Quality of life Wound complications Fast track surgery
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Safety of fast-track rehabilitation after gastrointestinal surgery:Systematic review and meta-analysis 被引量:15
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作者 Liu-Hua Wang Chun-Ming Lu +3 位作者 Fang Fang Dao-Rong Wang Ping Li Yan Wang 《World Journal of Gastroenterology》 SCIE CAS 2014年第41期15423-15439,共17页
AIM: To compare the safety of fast-track rehabilitation protocols (FT) and conventional care strategies (CC), or FT and laparoscopic surgery (LFT) and FT and open surgery (OFT) after gastrointestinal surgery.
关键词 Fast-track rehabilitation protocols Laparoscopic surgery Open surgery enhanced recovery Gastrointestinal surgery COMPLICATIONS READMISSION Anastomotic leak Wound infection OBSTRUCTION
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Does Postoperative Rehabilitation for Radical Cystectomy Call for Enhanced Recovery after Surgery?A Systematic Review and Metaanalysis 被引量:5
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作者 Jun XIAO Meng WANG +8 位作者 Wei HE Jing WANG Fan YANG Xue-you MA Yu ZANG Chun-guang YANG Gan YU Zhi-hua Wang Zhang-qun YE 《Current Medical Science》 SCIE CAS 2019年第1期99-110,共12页
The aim of this review was to systematically compare the outcomes of enhanced recovery after surgery(ERAS)with standard care(SC)after radical cystectomy.We performed a systematic search of PubMed,Ovid?Web of Science,a... The aim of this review was to systematically compare the outcomes of enhanced recovery after surgery(ERAS)with standard care(SC)after radical cystectomy.We performed a systematic search of PubMed,Ovid?Web of Science,and the Cochrane Library to identify studies published until September 2017 which involved a comparison of ERAS and SC.A meta-analysis was performed to assess the outcomes of ERAS versus SC.Sixteen studies including 8 prospective and 8 retrospective trials met the eligibility criteria.A total of 2100 participants were assigned to ERAS(1258 cases)or SC(842 cases).The time to first flatus passage[WMD=-0.95 days,95%Cl(-1.50,-0.41),P=0.0006],time until return to a regular diet[WMD=-2.15 days,95%Cl(-2.86,—1.45),P<0.00001]and the length of hospital stay[WMD=-3.75 days,95%Cl(-5.13,-2.36),P<0.00001]were significantly shorter,and the incidence of postoperative complications[OR=0.60,95%Cl(0.44,0.83),P=0.002],especially postoperative paralytic ileus[OR=0.43,95%Cl(0.30,0.62),P<0.00001]and cardiovascular complications[OR=0.28,95%Cl(0.09,0.90),P=0.03]was significantly lower in the ERAS group than those in the SC group.This meta-analysis demonstrated that ERAS was associated with a shorter time to first flatus passage,return of bowel fimction,and the length of hospital stay than SC in patients undergoing radical cystectomy,as well as a lower rate of postoperative complications,especially paralytic ileus and cardiovascular complications. 展开更多
关键词 enhanced recovery after surgery POSTOPERATIVE rehabilitation BLADDER cancer RADICAL CYSTECTOMY meta-analysis
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Early rehabilitation programs after laparoscopic colorectal surgery:Evidence and criticism 被引量:9
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作者 Duck-Woo Kim Sung-Bum Kang +2 位作者 Soo-Young Lee Heung-Kwon Oh Myung-Hoon In 《World Journal of Gastroenterology》 SCIE CAS 2013年第46期8543-8551,共9页
During the past several decades,early rehabilitation programs for the care of patients with colorectal surgery have gained popularity.Several randomized controlled trials and meta-analyses have confirmed that the impl... During the past several decades,early rehabilitation programs for the care of patients with colorectal surgery have gained popularity.Several randomized controlled trials and meta-analyses have confirmed that the implementation of these evidence-based detailed perioperative care protocols is useful for early recovery of patients after colorectal resection.Patients cared for based on these protocols had a rapid recovery of bowel movement,shortened length of hospital stay,and fewer complications compared with traditional care programs.However,most of the previous evidence was obtained from studies of early rehabilitation programs adapted to open colonic resection.Currently,limited evidence exists on the effects of early rehabilitation after laparoscopic rectal resection,although this procedure seems to be associated with a higher morbidity than that reported with traditional care.In this article,we review previous studies and guidelines on early rehabilitation programs in patients undergoing rectal surgery.We investigated the status of early rehabilitation programs in rectal surgery and analyzed the limitations of these studies.We also summarized indications and detailed protocol components of current early rehabilitation programs after rectal surgery,focusing on laparoscopic resection. 展开更多
关键词 COLORECTAL cancer enhanced recovery after surgery Early rehabilitation FAST-TRACK LAPAROSCOPY RECTAL
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Developing an enhanced recovery after surgery program for oncology patients who undergo hip or knee reconstruction surgery 被引量:4
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作者 Maria Bourazani Eleni Asimakopoulou +7 位作者 Chrysseida Magklari Nikolaos Fyrfiris Ioannis Tsirikas Giakoumis Diakoumis Martha Kelesi Georgia Fasoi Theodoros Kormas Gunhild Lefaki 《World Journal of Orthopedics》 2021年第6期346-359,共14页
Enhanced recovery after surgery(ERAS)protocols are applied in orthopedic surgery and are intended to reduce perioperative stress by implementing combined evidence-based practices with the cooperation of various health... Enhanced recovery after surgery(ERAS)protocols are applied in orthopedic surgery and are intended to reduce perioperative stress by implementing combined evidence-based practices with the cooperation of various health professionals as an interdisciplinary team.ERAS pathways include pre-operative patient counselling,regional anesthesia and analgesia techniques,post-operative pain management,early mobilization and early feeding.Studies have shown improvement in the recovery of patients who followed an ERAS program after hip or knee arthroplasty,compared with those who followed a traditional care approach.ERAS protocols reduce post-operative stress,contribute to rapid recovery,shorten length of stay(LOS)without increasing the complications or readmissions,improve patient satisfaction and decrease the hospital costs.We suggest that the ERAS pathway could reduce the LOS in hospital for patients undergoing total hip replacement or total knee replacement.These programs require good organization and handling by the multidisciplinary team.ERAS programs increase patient's satisfaction due to their active participation which they experience as personalized treatment.The aim of the study was to develop an ERAS protocol for oncology patients who undergo bone reconstruction surgeries using massive endoprosthesis,with a view to improving the surgical outcomes. 展开更多
关键词 Hip or knee replacement Joint reconstruction enhanced recovery after orthopedic surgery Fast-track orthopedic surgery enhanced recovery after surgery pathways in orthopedic surgery rehabilitation after hip or knee replacement
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Optimizing pain management in elderly patients post-knee surgery:A novel collaborative strategy
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作者 Abdulqadir J Nashwan 《World Journal of Clinical Cases》 SCIE 2024年第15期2475-2478,共4页
Total knee replacement,a common surgery among the elderly primarily necessitated by osteoarthritis,replaces the damaged knee joint with an artificial one.Given the aging population and the increasing prevalence of suc... Total knee replacement,a common surgery among the elderly primarily necessitated by osteoarthritis,replaces the damaged knee joint with an artificial one.Given the aging population and the increasing prevalence of such surgeries,the article highlights the critical need for effective postoperative care strategies.This editorial provides an overview of rehabilitation care for pain in elderly knee replacement patients,emphasizing the importance of a multimodal approach to postoperative recovery.Furthermore,the article advocates for a patient-centered,comprehensive rehabilitation regimen that enhances recovery and quality of life in elderly patients undergoing knee replacement surgery. 展开更多
关键词 ELDERLY Postoperative pain management rehabilitation care Multimodal pain strategy Total knee arthroplasty enhanced recovery after surgery
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Application of ERAS Concept and Psychological Guidance in Nursing of Patients with Laparoscopic Urology 被引量:2
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作者 Liumei Luo Xiangling Jiang +3 位作者 Xinli Kang Fanchang Zeng Yuzhu Lin Dingying Wu 《Health》 CAS 2022年第5期576-585,共10页
Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of ... Objective: To explore the application and effect of the enhanced recovery after surgery (ERAS) concept combined with psychological stress intervention in laparoscopic urological surgery nursing. Methods: 100 cases of urological surgical patients according to the nursing way, each 50 cases were divided into observation group and control group, and control group routine nursing, and the observation group implement rapid rehabilitation surgery concept in combination with psychological nursing, the comparison of two groups of patients with stress index, immune function, mental health, postoperative recovery index and the effect of complications. Results: There were statistically significant differences in stress index, immune function, mental health level, postoperative recovery index and complications between the observation group and the control group after psychological nursing (P Conclusion: The concept of rapid rehabilitation surgery combined with psychological nursing can help relieve psychological stress, restore immune function, reduce psychological pressure drop, speed up rehabilitation and reduce the incidence of postoperative complications in patients undergoing laparoscopic urologic surgery. Psychological nursing plays an adjunct role in laparoscopic urological surgery, so it is worth promoting. 展开更多
关键词 Laparoscopic Urology concept of Rapid rehabilitation surgery Psychological Nursing Comfortable Nursing
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基于加速康复外科理念的骨水泥强化型防旋股骨近端髓内钉治疗在老年骨质疏松性股骨转子间骨折中的应用效果 被引量:1
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作者 徐杨俊 李剑 +5 位作者 姜定君 路晓 花萍 周铭剑 何洲 侯刚 《中国当代医药》 CAS 2024年第2期57-60,79,共5页
目的探讨基于加速康复外科(ERAS)理念的骨水泥强化型防旋股骨近端髓内钉(PFNA)治疗在老年骨质疏松性股骨转子间骨折中的应用效果。方法选取东台市人民医院2021年1月至2022年10月收治的40例老年骨质疏松性股骨转子间骨折患者为研究对象,... 目的探讨基于加速康复外科(ERAS)理念的骨水泥强化型防旋股骨近端髓内钉(PFNA)治疗在老年骨质疏松性股骨转子间骨折中的应用效果。方法选取东台市人民医院2021年1月至2022年10月收治的40例老年骨质疏松性股骨转子间骨折患者为研究对象,采用随机数字表法分为对照组(20例)和观察组(20例)。对照组采用ERAS理念联合PFNA治疗,观察组采用ERAS理念联合骨水泥强化型PFNA治疗,并对两组进行为期6个月的随访。比较两组髋关节Harris评分优良率、髋关节活动角度、手术及恢复情况、生活质量及并发症。结果观察组术后6个月髋关节Harris评分优良率高于对照组,观察组住院时间、骨折愈合时间、术后下地行走时间、负重练习时间均短于对照组,总并发症发生率低于对照组,差异有统计学意义(P<0.05);两组的手术时间、术中出血量的比较,差异无统计学意义(P>0.05);观察组术后6个月的欧洲五维健康量表(ED-5Q)各项评分低于对照组,髋关节活动角度大于对照组,差异有统计学意义(P<0.05)。结论ERAS理念下的骨水泥强化型PFNA治疗老年骨质疏松性股骨转子间骨折患者能提高治疗优良率,提高患者生活质量,增加髋关节活动角度,且并发症发生率低。 展开更多
关键词 老年骨质疏松 股骨转子间骨折 加速康复外科理念 骨水泥强化型防旋股骨近端髓内钉
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基于快速康复外科理念的四级早期活动对心脏瓣膜置换术后谵妄发生的预防
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作者 李芳 王娟 +1 位作者 邢丽娜 彭晓红 《中国医药导报》 CAS 2024年第2期175-178,共4页
目的探讨基于快速康复外科理念的四级早期活动对预防心脏瓣膜置换术后谵妄发生的效果。方法选取新疆医科大学第一附属医院2020年11月至2022年7月拟行心脏瓣膜置换术治疗的患者100例进行研究。通过随机数字表法将其分为对照组和观察组,... 目的探讨基于快速康复外科理念的四级早期活动对预防心脏瓣膜置换术后谵妄发生的效果。方法选取新疆医科大学第一附属医院2020年11月至2022年7月拟行心脏瓣膜置换术治疗的患者100例进行研究。通过随机数字表法将其分为对照组和观察组,各50例。对照组接受常规护理措施,观察组在对照组基础上给予基于快速康复外科理念的四级早期活动。采用重症监护谵妄筛查量表评估两组术后7 d内谵妄发生情况;记录谵妄首次发生时间及持续时间;比较两组住院时间及机械通气时间。结果术后7 d内,对照组共发生谵妄26例,占比52%;观察组共发生谵妄16例,占比32%。观察组谵妄发生率低于对照组,差异有统计学意义(P<0.05);观察组谵妄首次发生时间、谵妄持续时间均短于对照组,差异有统计学意义(P<0.05);观察组住院时间短于对照组,差异有统计学意义(P<0.05)。结论基于快速康复外科理念的四级早期活动可减少心脏瓣膜置换术患者术后谵妄发生,缩短谵妄持续时间,减少谵妄相关不良事件的发生,缩短住院时间。 展开更多
关键词 早期活动 心脏瓣膜置换术 谵妄 快速康复外科理念
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ERAS理念在老年脊柱手术患者围术期中的应用研究
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作者 王杰 毕然 +3 位作者 冷辉 李佳峰 李宝妤 赵松岩 《中国伤残医学》 2024年第1期22-25,35,共5页
目的:本研究立足于加速康复理念,通过制定综合性、连续性、全面性的脊柱外科手术围术期患者管理方案,探讨其应用效果。方法:通过组建MDT团队,制订加速康复方案,选取2019年6月—2022年5月赤峰市医院脊柱外科收治的244例老年脊柱手术患者... 目的:本研究立足于加速康复理念,通过制定综合性、连续性、全面性的脊柱外科手术围术期患者管理方案,探讨其应用效果。方法:通过组建MDT团队,制订加速康复方案,选取2019年6月—2022年5月赤峰市医院脊柱外科收治的244例老年脊柱手术患者为研究对象,按手术方式分为4组:腰椎后路短节段内固定减压术组对照组、腰椎后路短节段内固定减压术组ERAS组、经皮椎体成形术(PVP)/椎体后凸成形术(PKP)组对照组、PVP/PKP组ERAS组。探讨不同手术方式的老年脊柱患者围术期的管理效果。结果:腰椎后路短节段内固定减压术组ERAS组住院时间、首次下地时间均短于腰椎后路短节段内固定减压术组对照组,住院费用少于腰椎后路短节段内固定组对照组,组间差异有统计学意义(P<0.05);PVP/PKP组ERAS组住院时间、首次下地时间均短于PVP/PKP组对照组,组间差异有统计学意义(P<0.05)。腰椎后路短节段内固定减压术组ERAS组腹胀、便秘、感染、心脑血管疾病、深静脉血栓(VTE)发生率低于腰椎后路短节段内固定减压术组对照组,差异有统计学意义(P<0.05);PVP/PKP组ERAS组腹胀、便秘、VTE发生率均低于PVP/PKP组对照组,组间差异有统计学意义(P<0.05)。结论:在老年脊柱手术患者围术期中应用ERAS理念,可以加快患者康复速度,缩短平均住院时间,减少住院费用,降低患者围术期的各种并发症,提高患者围术期舒适度。 展开更多
关键词 ERAS理念 加速康复外科 老年患者 脊柱手术 围术期 康复疗效
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阶梯性镇痛在妇科腹腔镜术患者中的应用效果
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作者 苗杨 雷伟 +1 位作者 张金良 宫宏宇 《河南医学研究》 CAS 2024年第7期1228-1231,共4页
目的探讨阶梯性镇痛方案及加速康复外科理念对妇科腹腔镜术患者疼痛、应激反应及胃肠道反应的影响。方法选取2021年9月至2023年5月在郑州市妇幼保健院行妇科腹腔镜术的280例患者作为研究对象,依据镇痛护理方案分为研究组(阶梯性镇痛方... 目的探讨阶梯性镇痛方案及加速康复外科理念对妇科腹腔镜术患者疼痛、应激反应及胃肠道反应的影响。方法选取2021年9月至2023年5月在郑州市妇幼保健院行妇科腹腔镜术的280例患者作为研究对象,依据镇痛护理方案分为研究组(阶梯性镇痛方案和加速康复外科理念,120例)和对照组(传统术后镇痛方案和加速康复外科理念,160例)。比较两组术后12~48 h的疼痛数字评分(NRS)、5点口头评分法(VRS-5)、Ramasay镇静评分,以及胃肠道反应。结果NRS、VRS-5评分的时间因素、组间因素、时间因素与组间因素交互作用均有统计学意义(P<0.05);术后12~48 h研究组的NRS、VRS-5评分低于对照组(P<0.05)。Ramasay镇静评分的时间因素、组间因素、时间因素与组间因素交互作用均有统计学意义(P<0.05);术后12~48 h研究组的Ramasay镇静评分低于对照组(P<0.05)。研究组恶心、呕吐、瘙痒评分低于对照组(P<0.05)。结论阶梯性镇痛方案及加速康复外科理念应用于妇科腹腔镜术患者,可有效减轻术后疼痛、应激反应以及胃肠道反应。 展开更多
关键词 阶梯性镇痛 加速康复外科理念 妇科腹腔镜术 疼痛 应激反应 胃肠道反应
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ERAS药学服务在老年结直肠癌手术患者中的应用研究
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作者 刘娟 张晓娟 +5 位作者 卢妍全 刘沙 黄丹 徐中良 刘秋莎 苟娟 《中国处方药》 2024年第11期48-51,共4页
目的 探讨加速康复外科(ERAS)理念药学服务在老年结直肠癌手术患者中的应用效果。方法 选取2023年1月~12月重庆医科大学附属永川医院就诊的122例老年结直肠癌手术患者进行研究。使用随机数字表法分为试验组(n=61)与对照组(n=61)。对照... 目的 探讨加速康复外科(ERAS)理念药学服务在老年结直肠癌手术患者中的应用效果。方法 选取2023年1月~12月重庆医科大学附属永川医院就诊的122例老年结直肠癌手术患者进行研究。使用随机数字表法分为试验组(n=61)与对照组(n=61)。对照组给予常规治疗,试验组在常规治疗的基础上接受ERAS理念药学服务。干预结束后比较两组的实验室指标[白蛋白(ALB)、前白蛋白(PA)、C反应蛋白(CRP)、降钙素原(PCT)]、镇痛效果[视觉模拟评分(VAS)]、用药依从性[Morisky药物依从性量表(MMAS-8)]、住院期间并发症发生率、住院经济指标以及药品不良反应发生率。结果 术后3 d,试验组ALB、PA水平高于对照组,CRP、PCT水平低于对照组(P <0.05)。试验组VAS评分低于对照组,MMAS-8评分高于对照组(P <0.05)。试验组住院期间并发症发生率1.64%低于对照组11.48%(P <0.05)。试验组住院总费用、住院药物总费用、药占比均低于对照组(P <0.05)。试验组药品不良反应发生率3.28%低于对照组13.11%(P <0.05)结论 ERAS理念药学服务在老年结直肠癌手术患者中应用良好,可改善患者营养状态、炎症反应,减轻患者术后疼痛,提高患者用药依从性,降低住院期间并发症发生率、药品不良反应发生率,减少患者治疗费用。 展开更多
关键词 加速康复外科理念 药学服务 结直肠癌手术 住院经济指标
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中药穴位贴敷联合ERAS理念对结直肠癌患者术后康复、并发症风险及护理满意度的影响
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作者 利雪珍 白志宝 +2 位作者 张璠 黄欣谊 薛文静 《中外医学研究》 2024年第9期80-83,共4页
目的:分析中药穴位贴敷联合加速康复外科理念(ERAS)对结直肠癌患者术后康复、并发症风险及护理满意度的影响。方法:选取2021年1月—2023年12月佛山市第一人民医院收治的300例结直肠癌术后患者,按照随机抽签法分为观察组和对照组,各150... 目的:分析中药穴位贴敷联合加速康复外科理念(ERAS)对结直肠癌患者术后康复、并发症风险及护理满意度的影响。方法:选取2021年1月—2023年12月佛山市第一人民医院收治的300例结直肠癌术后患者,按照随机抽签法分为观察组和对照组,各150例。对照组采取ERAS护理,观察组采取中药穴位贴敷联合ERAS护理。比较两组的干预效果。结果:观察组排气时间、肠鸣音恢复时间和排便时间均短于对照组,差异有统计学意义(P<0.05)。术后1周,观察组中医症候积分低于对照组,差异有统计学意义(P<0.05);观察组住院时间短于对照组,差异有统计学意义(P<0.05)。观察组术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:在结直肠癌患者术后采取中药穴位贴敷联合ERAS理念干预取得了良好的应用效果。 展开更多
关键词 穴位贴敷 加速康复外科理念 结直肠癌 并发症 护理满意度
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六字诀对快速康复外科非小细胞肺癌胸腔镜肺叶切除术后病人肺癌术后症状及并发症的影响
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作者 苏雪娥 方素珠 +2 位作者 何荷番 吴珊珊 刘芳 《全科护理》 2024年第15期2883-2887,共5页
目的:观察六字诀对快速康复外科(ERAS)非小细胞肺癌(NSCLC)胸腔镜肺叶切除术后病人肺癌术后症状及并发症发生情况的影响。方法:选取2021年6月—2022年4月入院诊断为NSCLC并行快速康复外科胸腔镜肺叶切除术后病人101例作为研究对象,采用... 目的:观察六字诀对快速康复外科(ERAS)非小细胞肺癌(NSCLC)胸腔镜肺叶切除术后病人肺癌术后症状及并发症发生情况的影响。方法:选取2021年6月—2022年4月入院诊断为NSCLC并行快速康复外科胸腔镜肺叶切除术后病人101例作为研究对象,采用随机数字表法随机分成对照组(n=50)和六字诀组(n=51)。对照组采用快速康复外科常规治疗与护理,六字诀组在对照组的基础上进行12周六字诀训练,于干预前后评估病人肺癌术后症状、中性粒细胞与淋巴细胞比以及血小板与淋巴细胞比(NLR、PLR)和并发症发生情况。结果:干预后六字诀组肺癌术后咳嗽症状改善较对照组显著,差异有统计学意义(P<0.05)。六字诀组肺癌术后并发症发生率与对照组比较差异无统计学意义(P>0.05)。结论:六字诀可有效改善ERAS非小细胞肺癌胸腔镜肺叶切除术后病人的咳嗽症状。 展开更多
关键词 快速康复外科 非小细胞肺癌 胸腔镜肺叶切除术 康复
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1例额叶脑膜瘤合并心脏病病人加速康复护理的循证实践
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作者 刘娟 厉春林 《全科护理》 2024年第18期3554-3559,共6页
目的:对1例额叶脑膜瘤合并心脏疾病的病人实施围术期循证护理方案,并对其效果进行观察。方法:根据PICO原则,针对病人提出的护理问题,计算机检索英国国家卫生与临床优化研究所(NICE)、美国国家指南网(NGC)、Embase、CINAHL、the Cochrane... 目的:对1例额叶脑膜瘤合并心脏疾病的病人实施围术期循证护理方案,并对其效果进行观察。方法:根据PICO原则,针对病人提出的护理问题,计算机检索英国国家卫生与临床优化研究所(NICE)、美国国家指南网(NGC)、Embase、CINAHL、the Cochrane Library、Web of Science、PubMed、中国生物医学文献数据库(CBM)、中国知网、万方数据库,查阅有关脑膜瘤合并心脏病病人加速康复护理的临床指南、系统评价、随机对照试验及专家共识等。并对文献的真实性、重要性和适应性进行评价,将最佳证据应用于该病人并观察后期效果。结果:在实施该循证方案的过程中病人未出现围术期不良事件和并发症,术后可早期下床活动和经口进食,术后住院时间为10 d,手术住院费用为5.5万元。结论:神经外科加速康复护理方案与心脏康复措施相结合应用于该病人中,可有效规避手术风险,改善病人术前心肺功能,使病人以最佳身体状态迎接手术,并可减少术后不良反应和并发症发生,增加舒适度,促进病人术后早期康复。 展开更多
关键词 脑膜瘤 心脏病 加速康复外科 心脏康复 循证护理
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加速康复外科理念在泌尿外科临床护理教学中的应用
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作者 黄莉燕 李瑜 陆彬 《蛇志》 2024年第2期254-256,共3页
目的探讨加速康复外科理念在泌尿外科临床护理教学中的应用效果。方法将2022年3月至2023年12月在我院泌尿外科实习的护生100名,随机分为对照组和观察组,每组50例。对照组采用传统临床带教模式,观察组在传统临床带教基础上融入加速康复... 目的探讨加速康复外科理念在泌尿外科临床护理教学中的应用效果。方法将2022年3月至2023年12月在我院泌尿外科实习的护生100名,随机分为对照组和观察组,每组50例。对照组采用传统临床带教模式,观察组在传统临床带教基础上融入加速康复外科理念,比较两组护生出科时的专科理论及操作技能考核成绩、护生对临床护理教学的满意度和患者对护生的满意度。结果出科时,观察组的专科理论及操作技能考核成绩与对照组比较,差异均有统计学意义(均P<0.05)。观察组护生对临床护理教学的满意度和患者对护生的满意度均明显高于对照组,差异均有统计学意义(均P<0.05)。结论加速康复外科理念应用于泌尿外科临床护理教学中,可提高护生的专科理论知识及操作技能,提高护生对临床护理教学的满意度及患者对护生的满意度。 展开更多
关键词 加速康复外科理念 临床护生 临床护理教学
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加速康复外科理念干预对胃肠肝胆手术患者希望水平的影响及对负面情绪的改善作用
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作者 张晶晶 齐慧 +2 位作者 韩凤珠 赵杰 孙秋芳 《四川解剖学杂志》 2024年第2期107-109,共3页
目的:探讨加速康复外科理念(ERAS)干预在胃肠肝胆手术患者中的应用效果.方法:选取2021年1月至12月本院进行胃肠肝胆手术患者500例作为研究对象.采用随机抽签法将其分为观察组(n=250,采取常规干预措施联合ERAS干预措施)和对照组(n=250,... 目的:探讨加速康复外科理念(ERAS)干预在胃肠肝胆手术患者中的应用效果.方法:选取2021年1月至12月本院进行胃肠肝胆手术患者500例作为研究对象.采用随机抽签法将其分为观察组(n=250,采取常规干预措施联合ERAS干预措施)和对照组(n=250,仅采取常规干预措施).采用统计学分析方法,比较两组患者希望水平、负面情绪及疼痛情况.结果:干预前,两组患者Herth希望量表(HHI)、简明心境量表(POMS)各项评分,视觉模拟评分法(VAS)评分等比较,差异均无统计学意义(P>0.05).干预后,观察组患者HHI与POMS各项评分高于对照组,差异均有统计学意义(P<0.05);观察组患者VAS评分低于对照组,差异亦有统计学意义(P<0.05).结论:ERAS干预,有助于提升胃肠肝胆手术患者的希望水平,改善负面情绪,减轻疼痛,效果良好. 展开更多
关键词 康复护理 加速康复外科 胃肠肝胆手术 希望水平 负面情绪
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快速康复外科理念对行颈椎前路手术患者术后并发症发生率及康复效果的影响
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作者 王婧 褚婷婷 《中西医结合护理(中英文)》 2024年第7期13-16,共4页
目的分析行颈椎前路手术的患者在护理期间应用快速康复外科理念的价值,评估对其术后并发症发生率以及康复效果产生的影响。方法选取2020年1月至2022年8月在东南大学附属中大医院接受颈椎前路手术治疗的104例患者开展对照研究,按照随机... 目的分析行颈椎前路手术的患者在护理期间应用快速康复外科理念的价值,评估对其术后并发症发生率以及康复效果产生的影响。方法选取2020年1月至2022年8月在东南大学附属中大医院接受颈椎前路手术治疗的104例患者开展对照研究,按照随机数字表法划分为对照组(52例)和观察组(52例)。对照组应用常规护理,观察组基于常规护理应用快速康复外科理念。对比2组的围手术期指标、吞咽功能及生活自理能力等。结果与对照组相比,观察组的手术时间、引流管留置时间和住院时间均更短,术中出血量更少,下床活动时间更早,并发症总发生率更低(P均<0.05)。术后1个月、3个月及6个月,观察组的Gugging吞咽功能评估量表评分和Barthel指数均高于同期对照组(P均<0.05),且2组均高于同组术前(P均<0.05)。结论行颈椎前路手术的患者接受快速外科理念护理不仅对促进其术后康复具有确切效果,还有助于改善患者的吞咽功能,提升其生活自理能力,并降低并发症发生率。 展开更多
关键词 颈椎前路手术 快速康复外科理念 术后并发症 康复效果
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