快速康复外科护理在儿童人工耳蜗围手术期的应用
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摘要
目的研究分析快速康复外科护理在儿童人工耳蜗植入手术围手术期的应用。方法收集2017年1—8月在中国科学技术大学附属第一医院行人工耳蜗植入术的病儿62例,分为对照组(30例)和观察组(32例),对照组采用传统人工耳蜗常规护理,观察组采用快速康复外科护理。对比两组病儿的术后麻醉清醒时间、首次进食水时间、疼痛评分及恶心呕吐等不良反应发生率。结果与对照组相比,观察组病儿麻醉清醒时间缩短(6.0 h比3.5 h,P<0.05),首次进食水时间提前(6.2 h比3.8 h,P<0.05),疼痛评分大幅降低(P<0.05),恶心、呕吐等不良反应显著减少(χ2=4.98,P<0.05)。结论快速康复外科护理能明显缩短人工耳蜗植入术病儿的麻醉复苏时间,首次进食水时间、减少术后并发症和减轻疼痛,具有良好的应用前景。
Objective To observe the role of fast-track surgery(FTS) in perioperative period ofchildredn with cochlear implantation.Methods 62 child patients who received cochlear implantation in the First Affiliated Hospital of University of Science and Technology of China from Jan 2017 to Aug 2017 were enrolled in this retrospective study. According to the nursing patterns, these patients were divided into two groups.Patients from treatment group(n = 32) received FTS, while control group(n = 30) received routine care.The postoperative anesthesia awake time, first feeding time, pain scores and functional scores as well as incidence of nausea and vomitting were monitored.Results Compared with control group, both postoperative anesthesia awake time and first feeding time were reduced in treatment group(6.0 h vs. 3.5 h,6.2 h vs.3.8 h, P < 0.05, respectively).Furthermore, pain scores and functional scores(P< 0.05) and incidence of nausea and vomitting were all significantly decreased in the treatment group compared with control group(X2= 4.98, P < 0.05).Conclusions FTS could contribute to the recovery of cochlear implantation.lt has a good prospect in clinical use.
Objective To observe the role of fast-track surgery(FTS) in perioperative period ofchildredn with cochlear implantation.Methods 62 child patients who received cochlear implantation in the First Affiliated Hospital of University of Science and Technology of China from Jan 2017 to Aug 2017 were enrolled in this retrospective study. According to the nursing patterns, these patients were divided into two groups.Patients from treatment group(n = 32) received FTS, while control group(n = 30) received routine care.The postoperative anesthesia awake time, first feeding time, pain scores and functional scores as well as incidence of nausea and vomitting were monitored.Results Compared with control group, both postoperative anesthesia awake time and first feeding time were reduced in treatment group(6.0 h vs. 3.5 h,6.2 h vs.3.8 h, P < 0.05, respectively).Furthermore, pain scores and functional scores(P< 0.05) and incidence of nausea and vomitting were all significantly decreased in the treatment group compared with control group(X2= 4.98, P < 0.05).Conclusions FTS could contribute to the recovery of cochlear implantation.lt has a good prospect in clinical use.
引文
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[4]王梦,龚树生.人工耳蜗植入进展[J/CD].中国医学前沿杂志(电子版),2016,8(10):3-6.DOI:10.12037/YXQY.2016.10-02.
[5]李美林,何晓睿,高艳,等.快速康复外科理念在腹腔镜小儿疝囊高位结扎术围手术期护理中的应用效果[J/CD].安徽医学,2016,37(10):1294-1296.
[6]王娟,丁敏,刘小琴,等.FLACC量表用于学龄前儿童术后疼痛评估的信效度评价[J].江苏医药,2015,41(11):1298-1300.
[7]殷继风,孙敬武.人工耳蜗再植入术的研究进展[J].中国临床保健杂志,2015,18(4):439-442.
[8]张颖.快速康复外科理念在外科护理中的应用[J].中国医药指南,2015,13(35):228.
[9]张小红,何红燕,何红,等.快速康复外科护理对外科手术患者恢复效率及护理满意度的影响[J].实用临床医药杂志,2014,18(4):18-21.
[10]王立婷,吴安石.术后镇痛与快速康复外科[J].北京医学,2015,37(8):774-776.
[11]元海成,秦鸣放.快速康复外科理论临床研究新进展[J].中国中西医结合外科杂志,2015,21(5):534-536.
[12]雷俊,肖菊花,杨瑞锦,等.快速康复外科在小儿急性阑尾炎中的应用[J].中国现代,2015,18(1):70-72.
[13]张芙莉,魏秀花.丹麦快速康复护理见闻及思考[J].当代护士,2016,9:184-185.
[14]唐杰,唐维兵.小儿外科的加速康复外科应用现状[J].肠外与肠内营养,2017,24(3):177-180.
[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]李索林.快速康复外科理念在小儿腔镜外科中的应用[J].临床小儿外科杂志,2015,14(5):353-356.