多学科合作快速康复模式在脑动静脉畸形栓塞术患者中的应用

Application on rapid rehabilitation mode of multidisciplinary cooperation in patients with cerebral arteriovenous malformation

目的探讨以护士为主体的多学科联合快速康复外科(ERAS)在脑动静脉畸形栓塞术患者中的应用效果。方法选取2017年3月至2018年8月本院行脑动静脉畸形栓塞术的患者70例作为研究对象,随机将其等分为观察组与对照组,对照组围手术期行常规护理,观察组围手术期采用以护士为主体的多学科联合ERAS模式干预。比较两组患者生活质量、并发症发生率。结果干预后观察组患者的生活质量评分明显高于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论以护士为主体的多学科合作快速康复模式,能够改善脑动静脉畸形栓塞术患者生活质量,降低并发症发生率。

Objective To explore the application effect of multidisciplinary combined enhanced recovery after surgery(ERAS)with nurses as the main body in patients with cerebral arteriovenous malformation embolization.Methods We selected 70 cases of patients with cerebral arteriovenous malformation embolization from March 2017 to August 2018 as a study object.They were randomly divided into observation group and control group.The control group was received routine nursing during perioperative period.The perioperative period of the observation group was based on a intervention of multidisciplinary combined ERAS model with nurses as the main body.The quality of life and the incidence of complications were compared between the two groups.Results After the intervention,the quality of life score in the observation group was obviously higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The rapid rehabilitation mode of multidisciplinary cooperation with nurses as the main body could improve the quality of life of patients with cerebral arteriovenous malocclusion and reduce the incidence of complications.