围术期(Perioperation period)是围绕手术的全过程,在此期间对病人的准备和护理需要格外关注,防止出现不良事件造成患者生病危险。在围术期不良事件中,围术期呼吸系统并发症占比较高,术后肺部并发症是影响手术患者术后转归的主要因素之...围术期(Perioperation period)是围绕手术的全过程,在此期间对病人的准备和护理需要格外关注,防止出现不良事件造成患者生病危险。在围术期不良事件中,围术期呼吸系统并发症占比较高,术后肺部并发症是影响手术患者术后转归的主要因素之一。随着科技的发展,麻醉方式的变化可以有效减少患者在围手术期发生呼吸系统并发症的几率,麻醉技术的进步对围术期患者的术后肺部并发症的防治也取得了良好进展。但目前的治疗方法与措施依旧存在争议。本文拟对围术期呼吸系统的并发症研究进展进行简单综述,就患者的围术期麻醉方式及围手术期对并发症的防治措施进行讨论,为临床治疗所需数据提供依据。The perioperative period encompasses the entire process around surgery, during which special attention is required for patient preparation and care to prevent adverse events that could lead to increased patient risk. Among perioperative adverse events, perioperative respiratory complications have a relatively high incidence, with postoperative pulmonary complications being one of the main factors affecting the outcome of surgical patients. With the advancement of technology, changes in anesthesia methods can effectively reduce the likelihood of respiratory complications occurring during the perioperative period, and progress in anesthesia techniques has also achieved good results in the prevention and treatment of postoperative pulmonary complications in perioperative patients. However, current treatment methods and measures remain controversial. This article aims to provide a brief review of the research progress on perioperative respiratory complications, discussing the anesthesia methods for patients during the perioperative period and the preventive and treatment measures for complications, in order to provide data for clinical treatment needs.展开更多
目的分析镜下行内痔套扎术围手术期应用全程护理优化方案对患者疼痛指数、生活质量及并发症的影响。方法收集2022年1月至2023年1月收治的70例内镜下行内痔套扎术治疗的内痔患者临床资料,根据围手术期干预方式差异分为对照组(常规干预)...目的分析镜下行内痔套扎术围手术期应用全程护理优化方案对患者疼痛指数、生活质量及并发症的影响。方法收集2022年1月至2023年1月收治的70例内镜下行内痔套扎术治疗的内痔患者临床资料,根据围手术期干预方式差异分为对照组(常规干预)与观察组(全程护理优化方案干预),每组35例。记录并对比2组手术时间、术中出血量、创面愈合时间、疼痛情况[视觉模拟疼痛评分(VAS)]、生活质量[生活质量综合评定问卷-74(GQOLI-74)]及并发症发生情况[肛门坠胀感、水肿、术后出血、尿潴留]。结果观察组手术时间及创面愈合时间均短于对照组,术中出血量少于对照组(P<0.05);2组术后24 h VAS评分比较差异无统计学意义(P>0.05),观察组术后3 d、7 d VAS评分均低于对照组(P<0.05);2组干预前生活质量四个维度比较差异无统计学意义(P>0.05),干预后2组患者四个维度评分均提高,观察组干预后物质生活、躯体、心理以及社会功能评分均高于对照组(P<0.05);术后观察组并发症总发生率为2.22%,对照组为4.44%,差异无统计学意义(P>0.05)。结论内镜下行内痔套扎术围手术期应用全程护理优化方案可降低患者疼痛指数及并发症发生率,同时提高患者生活质量水平,值得临床推广。展开更多
文摘围术期(Perioperation period)是围绕手术的全过程,在此期间对病人的准备和护理需要格外关注,防止出现不良事件造成患者生病危险。在围术期不良事件中,围术期呼吸系统并发症占比较高,术后肺部并发症是影响手术患者术后转归的主要因素之一。随着科技的发展,麻醉方式的变化可以有效减少患者在围手术期发生呼吸系统并发症的几率,麻醉技术的进步对围术期患者的术后肺部并发症的防治也取得了良好进展。但目前的治疗方法与措施依旧存在争议。本文拟对围术期呼吸系统的并发症研究进展进行简单综述,就患者的围术期麻醉方式及围手术期对并发症的防治措施进行讨论,为临床治疗所需数据提供依据。The perioperative period encompasses the entire process around surgery, during which special attention is required for patient preparation and care to prevent adverse events that could lead to increased patient risk. Among perioperative adverse events, perioperative respiratory complications have a relatively high incidence, with postoperative pulmonary complications being one of the main factors affecting the outcome of surgical patients. With the advancement of technology, changes in anesthesia methods can effectively reduce the likelihood of respiratory complications occurring during the perioperative period, and progress in anesthesia techniques has also achieved good results in the prevention and treatment of postoperative pulmonary complications in perioperative patients. However, current treatment methods and measures remain controversial. This article aims to provide a brief review of the research progress on perioperative respiratory complications, discussing the anesthesia methods for patients during the perioperative period and the preventive and treatment measures for complications, in order to provide data for clinical treatment needs.
文摘目的分析镜下行内痔套扎术围手术期应用全程护理优化方案对患者疼痛指数、生活质量及并发症的影响。方法收集2022年1月至2023年1月收治的70例内镜下行内痔套扎术治疗的内痔患者临床资料,根据围手术期干预方式差异分为对照组(常规干预)与观察组(全程护理优化方案干预),每组35例。记录并对比2组手术时间、术中出血量、创面愈合时间、疼痛情况[视觉模拟疼痛评分(VAS)]、生活质量[生活质量综合评定问卷-74(GQOLI-74)]及并发症发生情况[肛门坠胀感、水肿、术后出血、尿潴留]。结果观察组手术时间及创面愈合时间均短于对照组,术中出血量少于对照组(P<0.05);2组术后24 h VAS评分比较差异无统计学意义(P>0.05),观察组术后3 d、7 d VAS评分均低于对照组(P<0.05);2组干预前生活质量四个维度比较差异无统计学意义(P>0.05),干预后2组患者四个维度评分均提高,观察组干预后物质生活、躯体、心理以及社会功能评分均高于对照组(P<0.05);术后观察组并发症总发生率为2.22%,对照组为4.44%,差异无统计学意义(P>0.05)。结论内镜下行内痔套扎术围手术期应用全程护理优化方案可降低患者疼痛指数及并发症发生率,同时提高患者生活质量水平,值得临床推广。
