颈动脉内膜剥脱术病人围手术期护理与ERAS相关性研究 |
| 刘延平 孟亚杰 |
| 1.邯郸市第一医院，河北邯郸，056000；2.河北工程大学附属医院，河北邯郸，056000 |
| 摘要：目的 颈动脉内膜剥脱术（CEA）是切除增厚的颈动脉内膜粥样硬化斑块，预防由斑块脱落引起脑卒中的一项手术。此研究分析围手术期快速康复护理模式对CEA 病人康复的临床应用效果。方法选择我院临床收治的46 名行CEA 手术的住院患者作为研究案例，根据围手术期护理方式的不同分为观察组和对照组，观察组采用快速康复护理措施进行干预，从CEA 病人营养支持、术后非药物干预改善临床症状、术后并发症、住院时间和护理满意度几个方面进行比较观察。结果 ERAS 组CEA 病人的营养状况相对良好，术后临床不适症状、术后并发症发生率和住院时间均低于常规护理组，护理满意度高于常规护理组，（P<0.05），数据差异有统计学意义。结论 通过建立术前预康复—术后早期康复—出院后持续康复的ERAS 护理模式对CEA 病人围手术期提供营养支持，术后非药物干预改善临床症状、术后并发症以及住院时间方面有明显的改善，提升CEA 病人围手术期护理质量，加速术后康复，对CEA 病人术后护理满意度的提高有良好的促进作用。 |
| 关健词：颈动脉内膜剥脱术； 围手术期护理； 快速康复护理； 康复效果 |
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| Study on the Correlation between Perioperative Nursing and ERAS in Patients Undergoing Carotid Endarterectomy |
| Yanping Liu Yajie Meng |
| 1.Handan First Hospital，Handan Hebei 056000, China；2.Affiliated Hospital of Hebei University of Engineering，Handan Hebei 056000, China |
| Abstract：Objective Carotid endarterectomy (CEA) is a surgical procedure to remove thickened atherosclerotic plaques from the carotid artery intima, aiming to prevent stroke caused by plaque detachment. This study analyzes the clinical application effect of the perioperative enhanced recovery after surgery (ERAS) nursing mode on the rehabilitation of CEA patients.Methods A total of 46 inpatients who underwent CEA in our hospital were selected as research cases. They were divided into the observation group and the control group according to different perioperative nursing methods. The observation group received ERAS nursing interventions. Comparisons and observations were made from aspects such as nutritional support for CEA patients, postoperative non-pharmacological interventions to improve clinical symptoms, postoperative complications, length of hospital stay, and nursing satisfaction.Results The nutritional status of CEA patients in the ERAS group was relatively good. The postoperative clinical discomfort symptoms, incidence of postoperative complications, and length of hospital stay were all lower than those in the conventional nursing group, while the nursing satisfaction was higher than that in the conventional nursing group (P < 0.05), and the data difference was statistically significant.Conclusion The establishment of an ERAS nursing model encompassing preoperative pre-rehabilitation, early postoperative rehabilitation, and continuous rehabilitation after discharge can provide nutritional support for CEA patients during the perioperative period. It significantly improves postoperative clinical symptoms through non-pharmacological interventions, reduces postoperative complications, shortens the length of hospital stay, enhances the quality of perioperative nursing for CEA patients, accelerates postoperative rehabilitation, and plays a positive role in improving the postoperative nursing satisfaction of CEA patients. |
| Keywords：Carotid Endarterectomy; Perioperative Nursing; Enhanced Recovery After Surgery Nursing; Rehabilitation Effect |
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