以阶段目标为导向的LEER模式加速康复外科在脑胶质瘤围手术期的应用
Application of stage-target-oriented LEER model for enhanced recovery after surgery during the perioperative period of glioma patients
赵彬芳 1吴玉燕1
作者信息
- 1. 710038 西安,空军军医大学唐都医院神经外科
- 折叠
摘要
目的 探讨以阶段目标为导向的LEER模式加速康复外科(ERAS)在脑胶质瘤围手术期的应用效果.方法 2020年10月至2021年12月前瞻性收治121例脑胶质瘤,按入院先后顺序,60例采用常规ERAS模式进行围手术期管理(对照组),61例采用LEER模式ERAS(观察组).结果 观察组住院时间、首次进食时间、首次进饮时间、首次下床活动时间、术后视觉模拟量表评分和华西心晴指数量表评分均明显优于对照组(P<0.05).观察组术后发生颅内血肿1例(1.6%)、切口感染1例(1.6%)、癫痫1例(1.6%);对照组术后发生颅内血肿1例(1.7%)、切口感染1例(1.7%)、癫痫2例(3.3%)、深静脉血栓1例(1.6%).两组术后并发症发生率无显著差异(P>0.05).观察组住院满意度(95.08%)明显高于对照组(86.66%;P<0.05).观察组出院时营养不良风险发生率[(6.55%)4/61]明显低于对照组[18.33%(11/60);P<0.05].结论 以阶段目标为导向的LEER模式ERAS在脑胶质瘤围手术期中是安全的、有效的,可减轻病人疼痛、缩短住院时间.
Abstract
Objective To explore the application effectiveness of stage-oriented LEER model for enhanced recovery after surgery(ERAS)during the perioperative period of glioma patients.Methods One hundred and twenty-one patients with glioma were prospectively enrolled and treated with ERAS during the perioperative period.Sixty patients were treated with the conventional ERAS mode(control group),and 61 patients with the LEER mode ERAS(observation group)according to the order of admission.Results The hospitalization time,the time intervals from the surgery to the first post-operative eating,drinking,and getting out of bed,the postoperative scores of visual analogue scale and Huaxi emotional-distress index in the observation group were significantly better than those in the control group(P<0.05).Intracranial hematoma occurred in 1 patient(1.6%),incision infection in 1(1.6%),and epilepsy in 1(1.6%)after operation in the observation group.Intracranial hematoma occurred in 1 patient(1.7%),incision infection in 1(1.7%),epilepsy in 2(3.3%),and deep venous thrombosis 1(1.6%)after operation in the control group.There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The hospitalization satisfaction in the observation group(95.08%)was significantly higher than that(86.66%)in the control group(P<0.05).The incidence of malnutrition at discharge in the observation group[(6.55%)4/61]was significantly lower than that[18.33%(11/60)]in the control group(P<0.05).Conclusions Stage-oriented LEER model is safe and effective for ERAS during the perioperative period of glioma patients,which can reduce the pain of patients and shorten the length of hospital stay.
关键词
脑胶质瘤/围手术期/加速康复外科(ERAS)/LEER模式/可行性/安全性Key words
Glioma/Perioperative period/Enhanced recovery after surgery(ERAS)/LEER model/Feasibility/Safety引用本文复制引用
出版年
2024
NETL
NSTL
万方数据