ERAS理念在甲状腺手术患者术后康复中的应用效果研究

目的探讨快速康复理念(ERAS)在甲状腺手术患者麻醉恢复期中的应用及对其术后并发症和心理韧性的影响。方法选取某医院甲状腺手术麻醉恢复期的患者80例,随机分为研究组和对照组各40例;对研究组患者采用ERAS的护理干预方式,予以对照组患者一般的护理干预方式。术后采用视觉模拟评分法(VAS)分别于6 h、12 h、24 h评估患者的疼痛情况;观察患者术后并发症心理障碍的发生率。结果术后,研究组患者的疼痛恢复情况优于对照组,差异有统计学意义(P<0.05);研究组患者的并发症发生率低于对照组,差异有统计学意义(χ2=6.484,P<0.05);研究组患者的心理障碍发生率低于对照组,差异有统计学意义(χ2=4.528,P<0.05)。结论甲状腺手术的患者应用ERAS的护理干预后,有效地减轻了术后患者的疼痛程度,缓解了患者对于疾病和手术引起的心理问题,减少了术后并发症。

Application evaluation of ERAS concept in postoperative rehahilitation of patients with thyroids surgery

Objective To explore the application of enhanced recovery after surgery (ERAS) concept in the anesthesia recovery period in patients with thyroid surgery and its influence on postoperative complications and psychological resilience. Methods Eighty patients with thyroid surgery during the anesthesia recovery period were randomly divided into a study group and a control group. The patients in the study group were treated with ERAS nursing intervention and the patients in the control group were treated with the routine nursing intervention. The pain was assessed by the visual analog scale (VAS) at 6 h, 12 h, and 24 h after the surgery. The incidence of postoperative complications was observed. Results After the operation, the pain recovery of the patients in the study group was better than that of the patients in the control group, the difference was statistically significant (P<0.05). The incidence of complication in the study group was lower than that in the control group, the difference was statistically significant (χ2=6.484, P<0.05) ; the incidence of psychological disorders in the study group was lower than that in the control group, and the difference was statistically significant (χ2=4.528, P<0.05). Conclusion The application of ERAS nursing intervention can effectively reduce the pain level of the patients with thyroid surgery during the postoperative period, alleviates the psychological problems caused by diseases and surgery, and reduces the postoperative complications.