首页|快速康复外科理念在3D-slicer优化入路三叉神经痛围手术期护理中的应用

快速康复外科理念在3D-slicer优化入路三叉神经痛围手术期护理中的应用

扫码查看
目的 探讨快速康复外科(FTS)理念在 3D-slicer软件辅助优化手术入路三叉神经痛的围手术期护理中的应用效果.方法 将 2021 年 1 月至 2022 年 12 月在安徽省阜阳市人民医院诊断为三叉神经痛的 71 例患者作为研究对象,所有患者均行 3D-slicer软件辅助优化手术入路的经皮穿刺球囊压迫术治疗,采用随机数字表法将其分为对照组(36 例)和观察组(35 例),对照组采取围手术期常规护理,观察组在对照组基础上加用FTS理念干预,比较两组干预前后心理弹性量表(CD-RISC)评分和术前及术后 24、48、72 h视觉模拟评分法(VAS)评分,比较两组舒适状况问卷(GCQ),记录两组术后并发症发生情况.结果 干预后,两组CD-RISC各项评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).两组术后 24、48、72 h的VAS评分均低于术前,术后 48、72h低于术后 24 h,术后 72h低于术后 48 h,且观察组术后 24、48、72 h的VAS评分均低于同期对照组,差异有统计学意义(P<0.05).观察组GCQ中生理、社会文化、心理精神维度评分均高于对照组,并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论 3D-slicer软件辅助优化手术入路的经皮穿刺球囊压迫术治疗的三叉神经痛患者围手术期护理中采用FTS理念干预,能明显提高患者心理弹性水平,降低术后疼痛,改善舒适性,降低手术并发症,有利于促进术后康复进程.
Application of fast-track surgery concept in perioperative care of trigem-inal neuralgia optimized by 3D-slicer approach
Objective To investigate the application effect of fast-track surgery(FTS)concept in 3D-slicer software assisted optimization of perioperative care of surgical approach for trigeminal neuralgia.Methods A total of 71 patients diagnosed with trigeminal neuralgia in the Fuyang People's Hospital,Anhui Province from January 2021 to December 2022 were selected as study subjects.All patients were treated with percutaneous balloon compression assisted by 3D-slicer to optimize the surgical approach.The patients were divided into the control group(36 cases)and observation group(35 cases)by random number table method.The control group received perioperative routine nursing,and the observation group received FTS intervention based on the control group.The scores of Connor-Davidson resilience scale(CD-RISC)before and after the intervention and the visual analog scale(VAS)scores at before and 24,48,72 hours after the intervention were compared between the two groups.General comfort questionnaire(GCQ)was compared between the two groups,and postoperative complications were recorded between the two groups.Results After intervention,the scores of CD-RISC in both groups were higher than those before intervention,and those of observation group were higher than those of control group,the differences were statistically significant(P<0.05).VAS scores at 24,48,72 hours after surgery were lower than those before surgery,those at 48 and 72 hours after surgery were lower than those at 24 hours after surgery,those at 72 hours after surgery were lower than those at 48 hours after surgery,and the VAS scores of observation group at 24,48,72 hours after surgery were lower than those of the control group at the same period,the differences were statistically significant(P<0.05).The physiological,sociocultural,and psychological dimension scores of GCQ in the observation group were higher than those in the control group,and the total complication rate was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion The application of FTS concept in perioperative nursing of patients with trigeminal neuralgia treated with percutaneous puncture and capsular compression assisted by 3D-slicer to optimize the surgical approach can significantly improve the psychological resilience of patients,reduce postoperative pain,improve comfort,and reduce surgical complications,which is conducive to promoting postoperative rehabilitation.

Fast-track surgery conceptTrigeminal neuralgiaPerioperative periodNurse

李凯旋、潘笛笛

展开 >

安徽省阜阳市人民医院神经外科,安徽阜阳 236012

快速康复外科理念 三叉神经痛 围手术期 护理

安徽省科技厅临床医学研究转化项目

202204295107020053

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(7)
  • 24