[1]徐 伟,杨迎春,陈艳蓉,等.经后颅窝乙状窦后入路三叉神经微血管减压术的快速康复外科护理[J].医学信息,2020,33(01):182-184.[doi:10.3969/j.issn.1006-1959.2020.01.061]
　XU Wei,YANG Ying-chun,CHEN Yan-rong,et al.Fast Track Surgery Nursing of Trigeminal Nerve Microvascular Decompression Via Posterior Cranial Fossa Posterior Sigmoid Sinus Approach[J].Medical Information,2020,33(01):182-184.[doi:10.3969/j.issn.1006-1959.2020.01.061]
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经后颅窝乙状窦后入路三叉神经微血管减压术的快速康复外科护理()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年01期
页码:
182-184
栏目:
护理研究
出版日期:
2020-01-01

文章信息/Info

Title:
Fast Track Surgery Nursing of Trigeminal Nerve Microvascular Decompression Via Posterior Cranial Fossa Posterior Sigmoid Sinus Approach
文章编号:
1006-1959（2020）01-0182-03
作者:
徐 伟; 杨迎春; 陈艳蓉; 李晶晶; 张妍妮
（兰州大学第二医院神经外科四病区，甘肃 兰州 730030）
Author(s):
XU Wei; YANG Ying-chun; CHEN Yan-rong; LI Jing-jing; ZHANG Yan-ni
(Four Wards of Neurosurgery,the Second Hospital of Lanzhou University,Lanzhou 730030,Gansu,China)
关键词:
快速康复外科; 乙状窦后入路三叉神经微血管减压术; 外科护理
Keywords:
Fast track surgery; Trigeminal nerve microvascular decompression with retrosigmoid approach; Surgical nursing
分类号:
R745.1+1
DOI:
10.3969/j.issn.1006-1959.2020.01.061
文献标志码:
A
摘要:
目的 探讨快速康复外科 （FTS）理念在经后颅窝乙状窦后入路三叉神经微血管减压术围术期患者护理中的应用效果。方法 选择2018年1月~2019年1月我院收治并行经后颅窝乙状窦后入路三叉神经微血管减压患者100例，随机分成观察组和对照组，每组50例。对照组应用常规方法进行围术期护理，观察组应用FTS理念进行围术期护理。比较两组焦虑情况、术后并发症发生率、平均住院日及平均住院费用。结果 观察组轻度焦虑多于对照组，中、重度焦虑少于对照组（P＜0.05）；观察组术后并发症发生率低于对照组[恶心呕吐（4.00% vs 16.00%）、尿路感染（4.00% vs 18.00%）、颅内感染（0 vs 8.00%）、颅内血肿（2.00% vs 14.00%）和术后应激性疼痛（16.00% vs 34.00%）]，差异有统计学意义（P＜0.05）；观察组平均住院日和平均住院费用均低于对照组[（9.13±1.14）d vs（12.44±0.89）d]；[（2.15±0.66）万元 vs （3.05±0.61）万元]，差异有统计学意义（P＜0.05）。结论 应用FTS理念能缓解经后颅窝乙状窦后入路三叉神经微血管减压术患者术前紧张恐惧的心理，减少术后并发症，缩短患者住院日，降低住院费用，护理效果较好。
Abstract:
Objective To explore the effect of the concept of fast track surgery(FTS) in the nursing of patients with trigeminal nerve microvascular decompression in the posterior cranial fossa approach. Methods From January 2018 to January 2019, 100 patients with trigeminal nerve microvascular decompression who underwent posterior cranial fossa retrosigmoid sinus approach were randomly divided into observation group and control group, with 50 cases in each group. The control group applied routine methods for perioperative nursing, and the observation group applied FTS concept for perioperative nursing. The SAS scores, the incidence of postoperative complications, the average hospitalization days, and the average hospitalization costs were compared between the two groups. Results A low level of anxiety in observation group was more than that in control group, a moderate and high level of anxiety in observation group was less than control group(P<0.05); the incidence of postoperative complications in the observation group was lower than that of the control group [nausea and vomiting (4.00% vs 16.00%), urinary tract infection ( 4.00% vs 18.00%), intracranial infection (0 vs 8.00%), intracranial hematoma (2.00% vs 14.00%), and postoperative stress pain (16.00% vs 34.00%), the differences were statistically significant (P<0.05); the average hospitalization day and average hospitalization cost of the observation group were lower than those of the control group [(9.13±1.14) d vs (12.44±0.89)] d;[(2.15±0.66) ten thousand yuan vs (3.05±0.61) ten thousand yuan],the difference was statistically significant (P<0.05). Conclusion The application of the FTS concept can alleviate the tension and fear of patients with trigeminal nerve microvascular decompression after the posterior cranial fossa sinus approach, reduce postoperative complications, shorten the length of hospital stay, reduce the cost of hospitalization, and provide good nursing results.

参考文献/References:

[1]Nanavati AJ,Prabhakar S.Fast-track surgery:Toward comprehensive peri-operative care[J]. Anesthsia Essays and Researches,2014,8(2):127-133. [2]Chestovich PJ,Lin AY,Yoo J.Fast-track pathways in colorectal surgery[J].Surgical Clinics of North America,2013,93(1):21-32. [3]赵欣,马驰原,王友伟,等.快速康复外科在经鼻蝶入路垂体瘤切除术围术期护理中的应用[J].实用临床医药杂志,2014,18(20):85-87. [4]何蓓,张新定,韩彦明,等.三叉神经痛显微血管减压术后卡马西平戒断综合征(附4例报告)[J].立体定向和功能性神经外科杂志,2013,11(2):107-108. [5]Kehlet H,Slim K.The future of fast-track surgery[J].British Journal of Surgery,2012,99(8):1025-1026. [6]马小二,常文海,姬馨彤,等.经鼻蝶垂体瘤切除术疗效分析[J].中国实用医药,2014(21):76-77. [7]单葵顺,邓晨晖.快速康复外科理念在手术室护理中的应用[J].广东医学,2014,35(4):637-639. [8]戎金花,王丽琴.神经导航系统在经鼻蝶入路垂体瘤手术中的应用及护理[J].护士进修杂志,2012,27(3):228-230. [9]马媛媛.缩短禁水时间对提高经鼻蝶入路垂体瘤切除术后患者舒适度的研究[J].护士进修杂志,2014(23):2165-2166. [10]赵宏英,王西玲,曹文平.快速康复外科理念对内镜手术治疗神经外科经鼻蝶手术患者术前焦虑和术后疼痛的影响[J].中国煤炭工业医学杂志,2015,18(10):1760-1762. [11]Mari G,Martini PD,Maggioni D,et al.Pain perception and short-term outcomes in totally laparoscopic colonic surgery with two different fast track programs[J].European Surgery,2015, 47(5):258-261. [12]Wilmore DW,Kehlet H.Recent advances:Management of patients in fast track surgery[J].BMJ,2011,322(7284):473-476. [13]Loop T.Fast track in thoracic surgery and anaesthesia: update of concepts[J].Current Opinion in Anaesthesiology,2016,29(1):20-24. [14]陈月.快速康复外科理念在肝胆外科围术期护理中的应用[J].齐鲁护理杂志,2017,23(18):79-81. [15]徐进.快速康复护理进展及外科应用[J].齐鲁护理杂志,2016,22(24):43-45. [16]靳玉萍,范小宁,程春梅,等.快速康复外科理念在颅内动脉瘤栓塞术围手术期护理中的应用[J].当代护士,2017(3):76-78.

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更新日期/Last Update: 2020-01-01