ERAS在腰椎后路手术围手术期中的应用效果评价

Effectiveness of ERAS in Perioperative Period of Patients Receiving Lumbar Spine Surgery

摘要: 目的：探讨ERAS对腰椎后路手术围手术期中的应用效果。方法：方便抽样选择上海长海医院的腰椎疾病患者140名，分为对照组和观察组，每组70例，对照组采用传统护理方法，观察组采用加速康复护理方法，比较两组患者的护理效果。结果：观察组在术后伤口感染、泌尿系感染、肺部感染、腹胀便秘的发生率均明显低于对照组，差异有统计学意义(P < 0.05)，在住院日、住院费用比较中均明显低于对照组，均有统计学意义(P < 0.05)，在护理满意度的比较中明显高于对照组，有统计学意义(P < 0.05)。结论：对腰椎术后患者实施加速康复外科可以有效的降低手术相关并发症的发生率、缩短住院日、降低住院次费用、提升患者的满意度。

Abstract: Objective: To detect the effectiveness of ERAS in perioperative period of patients who received lumbar spine surgery in our hospital. Methods: Convenient sampling to select 140 patients diagnosed as lumbar spine diseases in Shanghai Changhai Hospital. Those patients were divided into two groups. The control group was treated with traditional nursing methods, and the observation group was treated with ERAS methods. Results: The incidence of postoperative wound infection, urinary tract infection, lung infection, and abdominal distension and constipation in ERAS group were significantly smaller than those in control group, and (P < 0.05). The days of hospitalization and hospitalization costs were also smaller in ERAS group than those in control group (P < 0.05). In addition, the nursing satisfaction was significantly greater in ERAS group than that in control group. Conclusion: The application of ERAS in patients who received lumbar spine surgery can effectively reduce the incidence of surgical-related complications, shorten the length of hospital stay, reduce the average cost of hospitalization, and improve patient satisfaction as well.