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

摘要

Objective To explore the application effect of enhanced recovery after surgery (ERAS) nursing during perioperative offlexible 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 objects, 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 postoperative exhaust time, the indwelling time of the catheter and the postoperative hospital day of ERAS group were significantly shorter than those of conventional group (P<0.05), the rate of postoperative complications and the total hosp italization expenses were significantly lower than those of conventional group (P<0.05).Conclusion Applying perioperative ERAS nursing programme to patients treated withflexible ureteroscope holmium laser lithotripsy is beneficial to patients' rapid recovery, and it's worth promoting.%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<0.05),术后并发症发生率和总住院费用均显著低于常规组(P<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.