摘要
目的研究加速康复外科理念在行经皮肾镜碎石取石术患者围术期中应用效果。方法研究对象为2019年7月—2020年6月该院收治的100例行经皮肾镜碎石取石术患者,参考随机数字表法划分为对照组与研究组,各50例;对照组选用传统处理模式,研究组选用加速康复外科(enhenced recovery after surgery,ERAS)处理模式;比较两组手术时间、术中出血量、术中大出血发生率、造瘘管留置时间、结石一期清除率、总住院时间、总住院费用。结果两组手术时间、结石一期清除率差异无统计学意义(P>0.05);研究组术中出血量(58.37±11.63)mL、大出血发生率2.00%低于对照组,造瘘留置时间(2.98±0.57)d、总住院时间(5.66±1.21)d短于对照组,总住院费用(1.48±0.21)万元少于对照组,两组比较差异有统计学意义(t=9.922,P<0.05;χ^(2)=4.396,P<0.05;t=19.060、6.131、6.874,P<0.05)。结论加速康复外科理念在行经皮肾镜碎石取石术患者围术期中应用效果显著,可有效减少患者术中出血量及大出血发生率,缩短造瘘留置时间及总住院时间,还可减少总住院费用,促使其快速康复。
Objective To study the effect of the concept of accelerated rehabilitation surgery in the perioperative period of patients undergoing percutaneous nephrolithotomy.Methods The subjects of the study were 100 patients who underwent percutaneous nephrolithotomy who were admitted to the hospital from July 2019 to June 2020.They were divided into two groups according to the random number table method,namely the control group and the study group,50 cases in each group;the control group used the traditional treatment mode,and the study group used the enhenced recovery after surgery(ERAS)treatment mode;the operation time,intraoperative blood loss,intraoperative hemorrhage incidence,and fistula were compared between the two groups Indwelling time,primary stone clearance rate,total length of hospital stay,total hospital cost.Results There was no statistically significant difference in operation time and primary stone clearance rate between the two groups(P>0.05);the intraoperative blood loss(58.37±11.63)mL and the incidence of major bleeding in the study group were lower than those in the control group,and the fistula indwelling time was(2.98±0.57)d.The total hospitalization time(5.66±1.21)d,shorter than that of the control group,and the total hospitalization cost(1.48±0.21)ten thousand,less than the control group.The differences between the two groups were statistically significant(t=9.922,P<0.05;χ^(2)=4.396,P<0.05;t=19.060,6.131,6.874,P<0.05).Conclusion The concept of accelerated rehabilitation surgery has a significant effect in the perioperative period of patients undergoing percutaneous nephrolithotomy.It can effectively reduce the amount of intraoperative blood loss and the incidence of hemorrhage,shorten the fistula indwelling time and total hospital stay,and reduce the total hospital stay expenses,prompte him to recover quickly.
作者
熊静静
任洪艳
甘祥芝
王丹
XIONG Jingjing;REN Hongyan;GAN Xiangzhi;WANG Dan(Department of Urology,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400042 China)
出处
《系统医学》
2021年第13期90-92,共3页
Systems Medicine
关键词
加速康复外科理念
经皮肾镜碎石取石术
围术期
手术时间
出血量
Concept of accelerated rehabilitation surgery
Percutaneous nephrolithotomy
Perioperative period
Operation time
Blood loss
作者简介
熊静静(1988-),女,本科,主管护师,研究方向:护理。
