加速康复外科在经尿道输尿管软镜钬激光碎石术围术期护理中的应用.pdfVIP

24 ● ● 《中国医学前沿杂志 （电子版）》2017 年第9 卷第7 期  重点号专题  DOI ：10.12037/YXQY.2017.07-06 加速康复外科在经尿道输尿管软镜钬激光 碎石术围术期护理中的应用 柳玉华，崔玉朋，张智宇，于鲁欣，王科 （青岛大学附属烟台毓璜顶医院　泌尿外科，山东　烟台　 264000 ） 【摘要】目的 探讨经尿道输尿管软镜钬激光碎石术患者围术期实施加速康复外科 （enhanced recovery after surgery ，ERAS）护理的应用效果。方法 选取2016 年10 月至2017 年6 月本院301 例接受经尿 道输尿管软镜钬激光碎石术的患者为研究对象，按围术期护理方案不同将其分为ERAS 组（ERAS 护理， 154 例）和常规组 （传统护理，147 例）。观察并比较两组患者术后首次进食时间、术后首次肛门排气 时间、术后导尿管留置时间、术后并发症发生率、术后住院天数及总住院费用。结果 ERAS 组患者 术后首次进食时间、术后首次肛门排气时间、术后导尿管留置时间及术后住院天数均显著短于常规组 P P （ ＜0.05 ），术后并发症发生率和总住院费用均显著低于常规组 （ ＜0.05 ）。结论 在输尿管软镜钬 激光碎石术围术期应用ERAS 护理方案，可加速患者康复，减少总住院费用，值得临床推广应用。 【关键词】输尿管软镜钬激光碎石；加速康复外科 ；围术期；护理 The application of enhanced recovery after surgery nursing in flexible ureteroscope holmium laser litho­ tripsy during perioperative LIU Yu-hua, CUI Yu-peng, ZHANG Zhi-yu, YU Lu-xin, WANG Ke (Department of Urology Surgery, the Affiliated Yantai Yuhuangding Hospital of Qingdao University, Shandong, Yantai 264000, China) Corresponding auther: ZHANG Zhi-yu, E-mail: kevin420@163.com Abstract Objective 【 】 　To explore the application effect of enhanced recovery after surgery (ERAS) nursing during perioperative of flexible ureteroscope holmium laser lithotripsy. Method　301 patients who underwent transurethral ureteroscope holmium laser lithotripsy from October 2016 to June 2017 in our hospital were selected as research obj ects, and they were divided into ERAS group (ERAS nursing, 154 cases) and conventional group (conventional nursing, 147 cases) according to the different care program during perioperative. The first feeding time, the first postoperative exhaust time, the indwelling time of the catheter, the rate of postoperative complications, the postoperative hospital day and the total hospitalization expenses were observed and compared between the two groups. Result　The first feeding time, the first postopera