首页|基于ERAS的麻醉护理管理在神经外科围手术期中的应用效果

基于ERAS的麻醉护理管理在神经外科围手术期中的应用效果

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目的 探讨基于加速康复外科(ERAS)的麻醉护理管理在神经外科围手术期中的应用效果。方法 选取2020年 7月至 2022 年 4 月我院收治的 66 例行神经外科手术的患者为研究对象,按照麻醉护理管理方式不同将其分为观察组(33例,基于ERAS下的麻醉护理管理)及对照组(33 例,常规麻醉护理管理)。比较两组的护理效果。结果 观察组的麻醉苏醒时间、下床活动时间及住院时间均短于对照组(P<0。05)。观察组的麻醉不良反应总发生率低于对照组(P<0。05)。护理后,观察组的C反应蛋白(CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平低于观察组(P<0。05)。护理后,观察组的汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)及视觉模拟评分法(VAS)评分低于对照组(P<0。05)。护理后,观察组的日常生活能力评定量表(ADL)、生活质量量表(QOL)评分低于对照组(P<0。05)。结论 基于ERAS的麻醉护理管理在神经外科围手术期中的应用效果显著,可缩短患者的麻醉苏醒时间、下床时间及住院时间,降低麻醉不良反应发生率,缓解炎症应激反应、焦虑、抑郁情绪及术后疼痛程度,提高患者的日常生活能力及生活质量。
Application effect of anesthesia nursing management based on ERAS in perioperative period of neurosurgery
Objective To explore the application effect of anesthesia nursing management based on enhanced recovery after surgery(ERAS)in perioperative period of neurosurgery.Methods A total of 66 patients who underwent neurosurgery in our hospital from July 2020 to April 2022 were selected as the research objects.According to different anesthesia nursing management methods,the patients were divided into observation group(33 cases,anesthesia nursing management based on ERAS)and control group(33 cases,routine anesthesia nursing management).The nursing effects of the two groups were compared.Results The anesthesia recovery time,ambulation time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).The total incidence of adverse reactions of anesthesia in the observation group was lower than that in the control group(P<0.05).After nursing,the levels of C-reactive protein(CRP),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA)and Visual Analogue Scale(VAS)in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of Activity of Daily Living Scale(ADL)and Quality of Life(QOL)in the observation group were lower than those in the control group(P<0.05).Conclusion The anesthesia nursing management based on ERAS in the perioperative period of neurosurgery has remarkable application effect.It can shorten the anesthesia recovery time,getting out of bed time and hospitalization time of patients,reduce the incidence of adverse reactions of anesthesia,relieve inflammatory stress response,anxiety,depression and postoperative pain,and improve the daily living ability and quality of life of patients.

anesthesia nursing management based on ERASneurosurgeryinflammatory stress

汪霄、王虎

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安康市中医医院手术麻醉科,陕西 安康,725000

基于ERAS的麻醉护理管理 神经外科 炎症应激反应

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(6)
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