快速康复外科护理在血泡样脑动脉瘤介入治疗围术期的应用

Application of enhanced recovery after surgery in perioperative nursing among patients with blood blister-like cerebral aneurysm and undergoing interventional therapy

目的 探讨快速康复外科(ERAS)护理技术在血泡样脑动脉瘤介入治疗围术期的应用,总结初步经验.方法 选取空军军医大学第一附属医院神经外科2020年1月至2023年1月间行支架辅助弹簧圈栓塞治疗的血泡样脑动脉瘤68例,随机分为ERAS组和对照组,每组34例.分别按照ERAS和传统方案行围术期护理,比较两组患者的术后并发症情况、格拉斯哥预后评分(GOS)、住院时间及护理服务满意度.结果 ERAS组发生术后并发症5例,对照组13例,两组比较,差异有统计学意义(P<0.05);ERAS组术后30 d的GOS和护理满意度优于对照组(P<0.01),平均住院时间短于对照组(P<0.01).结论 将ERAS护理技术初步应用于血泡样脑动脉瘤介入治疗围术期,在显著提高护理满意度的前提下可有效降低术后并发症发生,改善预后,缩短住院时间,未来更大样本量的临床研究对其推广应用具有重要意义.

Objective To explore the applications of enhanced recovery after surgery(ERAS)in perioperative nursing among patients with blister-like cerebral aneurysm and receiving interventional treatment.Methods Sixty-eight patients with blood blister-like cerebral aneurysms and admitted to the Department of Neurosurgery between January 2020 and January 2023 were treated with stent-assisted coil embolization.These patients were randomly divided into the ERAS group and control group(N=34 per group).As for perioperative nursing,the former group received ERAS while the latter underwent conventional care.Postoperative complications,Glasgow Outcome Scale(GOS),length of hospital stay and degree of satisfaction with nursing were compared between the two groups.Results There was no significant difference in basic data between the two groups upon admission.Postoperative complications occurred in 5 patients in the ERAS group and the number increased to 13 in the control group.Moreover,there was significant difference between the two groups(P<0.05).Both GOS and levels of satisfaction with nursing 30 days after surgery were better in the ERAS group than in the control group(P<0.01).In addition,the average length of hospital stay was shorter in the ERAS group(P<0.01).Conclusion The application of ERAS nursing techniques after interventions among patients with BSA could not only leave patients more satisfied with nursing,but also effectively reduce the incidence of postoperative complications.Meanwhile,patients’prognosis can be improved and hospital stay shortened.In the future,clinical research with larger sample size will be of great value for both the popularization and application of this therapeutic method.