摘要
目的探讨快速康复外科护理在急诊颅内动静脉畸形出血栓塞术患者中的效果。方法选取2023年1月至11月厦门市第三医院神经外科接受治疗的40例颅内动静脉畸形出血并接受栓塞手术的患者为研究对象,按照随机数字表法分为观察组(20例)与对照组(20例)。对照组给予栓塞手术常规护理,观察组应用快速康复外科护理,比较两组患者的术后并发症发生情况、首次下床时间、住院时间及满意度。结果两组患者均未见再出血、股动脉血栓的发生,观察组的术后并发症总发生率低于与对照组,差异有统计学意义(P<0.05)。观察组患者的首次下床时间和住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者的总满意度高于对照组,差异有统计学意义(P<0.05)。结论对于急诊颅内动静脉畸形栓塞术应用快速康复外科护理,可以减少术后并发症的发生,缩短患者的下床时间和住院天数,有效促进患者术后恢复。
Objective To investigate the effect of enhanced recovery after surgery nursing in patients with emergency in-tracranial arteriovenous malformation bleeding embolization.Methods Forty patients with intracranial arteriovenous malfor-mation hemorrhage who underwent embolization surgery in the Department of Neurosurgery,Xiamen Third Hospital from January to November 2023 were selected as the study objects,and were divided into observation group(20 cases)and control group(20 cases)according to random number table method.The control group was given routine nursing of embolization op-eration,and the observation group was given enhanced recovery after surgery nursing.The occurrence of postoperative com-plications,the first time to get out of bed,the length of hospital stay and satisfaction of the two groups were compared.Results Rebleeding and femoral artery thrombosis were not observed in both groups.The total incidence of postoperative com-plications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The first time of getting out of bed and the length of stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The total satisfaction was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of enhanced recovery after surgery nursing for emergency embolization of intracranial arteriovenous malformations can reduce the occurrence of postop-erative complications,shorten the time for patients to get out of bed and hospital stay,and effectively promote postoperative recovery.
作者
陈金蓉
陈锋龙
张弋
CHEN Jinrong;CHEN Fenglong;ZHANG Yi(Department of Neurosurgery,Xiamen Third Hospital,Fujian Province,Xiamen 362000,China)
出处
《中国当代医药》
CAS
2024年第30期135-139,共5页
China Modern Medicine
基金
福建省厦门市医疗卫生指导性项目(3502Z20214ZD1284)。
关键词
快速康复外科护理
颅内动静脉畸形栓塞
急诊出血
术后护理
Enhanced recovery after surgery nursing
Intracranial arteriovenous malformation embolism
Emergency bleeding
Postoperative care
