快速康复外科联合前瞻性干预在蛛网膜下腔出血中应用价值分析

Value Analysis of Rapid Rehabilitation Surgery Combined with Prospective Intervention in Subarachnoid Hemorrhage

目的分析快速康复外科(FTS)+前瞻性护理用于蛛网膜下腔出血(SAH)中价值。方法随机数字表法将天津市某三级甲等医院神经外科2019年3月至2020年7月住院76例SAH患者分为对照组(常规护理)和试验组(FTS+前瞻性护理),各组38例。观察术后机体恢复情况(肠鸣音恢复时间、排便恢复时间、首次下床活动时间)以及神经功能量表(ESS)、日常生活能力量表(ADL)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分和并发症。结果与对照组比较,试验组肠鸣音恢复时间、排便恢复时间和首次下床活动时间更短,ESS、ADL得分更高,SDS、SAS得分更低;试验组并发症发生率(7.89%)低于对照组(39.47%),两组上述比较差异均有统计学意义(P<0.05)。结论FTS+前瞻性护理能促进SHA术后康复,缓解负性情绪,值得应用。

Objective The paper explored value of fast track surgery(FTS)and prospective nursing in postoperative period of subarachnoid hemorrhage(SAH)patients.Methods 76 SAH patients in neurosurgery department of a tertiary hospital in Tianjin from March 2019 to July 2020 were randomly divided into experimental group(prospective nursing guided by FTS)and control group(routine nursing)with 38 cases in each group.Recovery of body(recovery time of bowel sounds and defecation,first time out of bed activity)and scores of neurological function scale(ESS),activity of daily living scale(ADL),self rating Depression Scale(SDS),self-rating Anxiety Scale(SAS)and complications were observed.Results Compared with control group,experimental group had shorter recovery time of bowel sounds,defecation and first getting out of bed,higher ESS and ADL scores,and lower SDS and SAS scores;Incidence of complications in experimental group(7.89%)was lower than control group(39.47%).The difference was statistically significant(P<0.05).Conclusion FTS and prospective nursing can promote postoperative rehabilitation of SHA and alleviate negative emotions,it is worthy of promotion.