快速康复外科护理理念在鼻内镜下鼻中隔成形术患者中的应用及对术后疼痛管理的效果

Application of Rapid Recovery Surgical Nursing Concept in Patients Undergoing Nasal Endoscopic Septoplasty and Its Effect on Postoperative Pain Management

摘要: 目的：探讨快速康复外科(ERAS)护理理念在鼻内镜下鼻中隔成形术患者中的应用效果及其对术后疼痛管理的影响。方法：选取2024年3月至2025年3月在本院耳鼻咽喉科行鼻内镜下鼻中隔成形术的90例患者，采用随机数字表法分为实验组和对照组，各45例。对照组给予常规护理，实验组在常规护理基础上实施ERAS护理理念。比较两组患者术后疼痛程度、术后恢复指标、并发症发生率。结果：实验组患者术后6 h、12 h、24 h、48 h的VAS疼痛评分均显著低于对照组(P < 0.05)；实验组术后首次下床活动时间、住院时间、鼻腔填塞物移除时间均显著短于对照组，术后1周鼻腔阻力值低于对照组(P < 0.05)；实验组术后并发症发生率显著低于对照组(P < 0.05)；实验组护理满意度评分均显著高于对照组(P < 0.05)。结论：ERAS护理理念应用于鼻内镜下鼻中隔成形术患者，能有效减轻术后疼痛，促进患者快速康复，降低并发症发生率。

Abstract: Objective: Exploring the application effect of ERAS nursing concept in patients undergoing nasal endoscopic septoplasty and its impact on postoperative pain management. Methods: Ninety patients who underwent nasal endoscopic septoplasty in the Otolaryngology Department of our hospital from March 2024 to March 2025 were selected and randomly divided into an experimental group and a control group, with 45 patients in each group, using a random number table method. The control group received routine care, while the experimental group implemented the ERAS nursing concept on the basis of routine care. Compare the postoperative pain level, postoperative recovery indicators, and incidence of complications between two groups of patients. Results: The VAS pain scores of the experimental group patients at 6, 12, 24, and 48 hours after surgery were significantly lower than those of the control group (P < 0.05); the experimental group had significantly shorter postoperative first mobilization time, hospitalization time, and nasal packing removal time compared to the control group. One week after surgery, the nasal resistance value was lower than that of the control group (P < 0.05); the incidence of postoperative complications in the experimental group was significantly lower than that in the control group (P < 0.05); the nursing satisfaction scores of the experimental group were significantly higher than those of the control group (P < 0.05). Conclusion: The ERAS nursing concept applied to patients undergoing nasal endoscopic septoplasty can effectively alleviate postoperative pain, promote rapid recovery, and reduce the incidence of complications.