加速康复外科理念在经皮肾镜钬激光碎石术麻醉复苏期护理中的应用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

李兰¹ 

关键词: 加速康复外科;    经皮肾镜碎石术;    麻醉复苏;    苏醒期躁动;   

DOI  :  10.11997/nitcwm.2017012029

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the application of enhanced recovery after surgery(ERAS)in recovery period of anesthesia after percutaneous nephrolithotomy(PCNL). Methods Totally 50 patients undergoing PCNL between February, 2017 and April, 2017 were selected as the control group, another 50 patients undergoing PCNL between May, 2017 and July, 2017 were included as the observation group. The control group was given routine nursing management, while the observation group was given ERAS-based nursing management during recovery period of anesthesia after operation. The clinical index and anesthesia related complication were observed and compared between two groups. Results 〓The duration in post-anesthesia care unit(PACU), the recovery time of orientation and the time of tracheal extubation were shorter in the observation group than those in the control group(P<0.05). The incidence of hypothermia, emergence agitation, vomiting and delayed recovery were lower in the observation group than those in the control group((P<0.05). Conclusion 〓For patients with PCNL, the application of ERAS-based nursing can effectively reduce anesthesia-related complications and shorten recovery time.

【 授权许可】

CC BY-NC