快速康复外科模式在耳鼻咽喉科手术中的临床应用

Clinical application of enhanced recovery after surgery model in otorhinolaryngologic surgery

目的探讨快速康复外科模式在耳鼻咽喉科手术中的临床应用可行性,研究并制定实际临床应用中的临床路径及诊疗模式,帮助患者术后快速康复。方法筛选2021年6月—2021年9月诊断为声带息肉拟行支撑喉显微镜下激光手术的患者,制定快速康复模式临床路径并实施,随机分组每组15人,快速康复外科模式(fasttrack surgery)临床干预为实验组,传统模式为对照组。观察评估两组患者围手术期饥饿感、手术时间、住院时间及满意度。结果 FTS模式下患者术前饥饿、口渴感较对照组比例明显降低,FTS组仅有4人在围手术期感到口渴,而对照组则有9人。两组进行相同的手术方式及出院标准,FTS模式下患者住院时间缩短,通过满意度调查发现实验组患者满意度高于对照组。结论 FTS模式可以很好的应用于耳鼻咽喉头颈外科支撑喉镜激光手术围手术期,降低患者术前饥饿、口渴等不适,缩短患者住院时间,增加患者围手术期满意度,促进患者快速康复。

Objective To explore the enhanced recovery after surgery in otorhinolaryngology,head and neck surgery,study and formulate the clinical path and diagnosis and treatment mode in practical clinical application,so as to help patients recover quickly after operation. Methods We screened the patients who were diagnosed as vocal cord polyps from June2021 to September2021 and planned to undergo laser surgery under microscopic supporting laser laryngoscope. A clinical pathway of Enhanced Recovery after Surgery model was formulated and implemented,which included an experimental group(15 patients who received fast-track surgery for intervention,FAS)and a control group(15 patients who were treated with traditional mode). The perioperative hunger,operation time,hospital stay,and satisfaction of the two groups were recorded and evaluated. Results Preoperative hunger and thirst were present in less FTS patients than the controls. Only4 patients in the FTS group reported thirst during the perioperative period,while the number was9 in the control group. Under the same operation and discharge standards,the patients treated with FTS showed shortened hospital stays and higher satisfaction than the control group. Conclusion FTS can be well applied in the perioperative period of otolaryngology,head and neck surgery under microscopic supporting laser laryngoscope to reduce patients’ preoperative discomfort such as hunger and thirst,shorten hospitalization time,increase perioperative satisfaction,and promote rapid recovery.