摘要
目的:探究多模式镇痛管理配合加速康复外科(ERAS)护理对机器人辅助根治性膀胱切除术(RARC)患者术后镇痛及术后康复的影响。方法:前瞻性选取2020年5月—2023年5月于首都医科大学附属北京友谊医院泌尿外科行RARC的70例患者进行分析,简单随机分组分为研究组和对照组(各35例)。对照组接受常规护理管理,研究组接受ERAS护理配合多模式镇痛管理。比较两组患者围手术期指标、术后疼痛情况、运动步数及康复指标。结果:与对照组相比,研究组麻醉恢复室留置时间明显更短,术后48 h、72 h静态、动态疼痛视觉模拟评分法评分更低,术后1~3 d运动步数更高,术后排气时间、排便时间、进食时间、住院时间更短,差异均具有统计学意义(P<0.05)。结论:多模式镇痛管理配合ERAS护理可降低RARC患者术后疼痛,提高康复效率。
Objective:To investigate the effects of multimodal analgesia management combining with enhanced recovery after surgery(ERAS)nursing on postoperative analgesia and recovery in patients undergoing robot-assisted radical cystectomy(RARC).Methods:70 patients who underwent RARC in Beijing Friendship Hospital of Capital Medical University from May 2020 to May 2023 were prospectively selected for analysis.They were divided into the study group(n=35)and the control group(n=35)by simple randomization.The control group received conventional nursing management,and the study group received ERAS nursing combining with multimodal analgesia management.Perioperative indicators,postoperative pain level,exercise steps and rehabilitation indicators of patients were compared between the two groups.Results:Compared with the control group,the study group had a significantly shorter stay in the anesthesia recovery room,lower scores on the static and dynamic VAS at 48 h and 72 h after surgery,higher numbers of excercise steps at 1~3 d after surgery,and it also had a shorter time to defecation,bowel movement,time to feed,and shorter length of stay,and the differences were statistically significant(P<0.05).Conclusion:Multimodal analgesic management combining with ERAS nursing can reduce postoperative pain and improve rehabilitation efficiency in RARC patients.
作者
张娣
林琦
宋菲菲
ZHANG Di;LIN Qi;SONG Feifei(Department of Urology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
基金
北京市自然科学基金面上项目(7222034)。
