首页|基于ERAS理念的围手术期麻醉护理管理在小儿腹腔镜手术中的应用效果

基于ERAS理念的围手术期麻醉护理管理在小儿腹腔镜手术中的应用效果

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目的 探讨基于加速康复外科(ERAS)理念的围手术期麻醉护理管理在小儿腹腔镜手术中的应用效果。方法 选取 2019 年 6月至 2022 年 4 月我院收治的60 例行腹腔镜手术患儿为研究对象,按照围手术期麻醉管理方式的不同将其分为观察组和对照组,各30 例。观察组采用基于ERAS理念的围手术期麻醉护理管理,对照组采用常规围手术期麻醉护理管理。比较两组的护理效果。结果 观察组的肠鸣音恢复时间、肛门排气时间及住院时间短于对照组(P<0。05)。护理后,观察组的皮质醇(Cor)、C反应蛋白(CRP)及白细胞介素-6(IL-6)水平低于对照组(P<0。05)。护理后,观察组的β-内啡肽(β-EP)水平高于对照组,P物质(SP)水平低于对照组(P<0。05)。观察组的并发症总发生率低于对照组(P<0。05)。观察组家属的护理满意度明显高于对照组(P<0。05)。结论 基于ERAS理念的围手术期麻醉护理管理可降低腹腔镜手术患儿应激反应、术后疼痛程度及手术并发症发生率,促进患儿的康复,提高患儿家属的满意度。
Application effect of perioperative anesthesia nursing management based on ERAS concept in pediatric laparoscopic surgery
Objective To explore the application effect of perioperative anesthesia nursing management based on enhanced recovery after surgery(ERAS)concept in pediatric laparoscopic surgery.Methods Sixty children who underwent laparoscopic surgery admitted in our hospital from June 2019 to April 2022 were selected as the research objects.According to the different methods of perioperative anesthesia management,the children were divided into observation group and control group,with 30 cases in each group.The observation group was given perioperative anesthesia nursing management based on ERAS concept,and the control group was given routine perioperative anesthesia nursing management.The nursing effects of the two groups were compared.Results The recovery time of bowel sounds,anal exhaust time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).After nursing,the levels of cortisol(Cor),C-reactive protein(CRP)and interleukin-6(IL-6)in the observation group were lower than those in the control group(P<0.05).After nursing,the level of β-endorphin(β-EP)in the observation group was higher than that in the control group,and the level of substance P(SP)was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).The nursing satisfaction of family members in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The perioperative anesthesia nursing management based on ERAS concept can reduce the stress response,postoperative pain degree and incidence of surgical complications of children undergoing laparoscopic surgery,promote the rehabilitation of children,and improve the satisfaction of children's families.

enhanced recovery after surgeryperioperative anesthesia nursing managementchildrenlaparoscopic surgerystress indicator

王虎、汪霄

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安康市中医医院手术麻醉科,陕西 安康,725000

加速康复外科 围手术期麻醉护理管理 小儿 腹腔镜手术 应激指标

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(7)
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