| 余晓岚,杨燕,崔江萍,等.快速康复外科护理在儿童人工耳蜗围手术期的应用[J].安徽医药,2019,23(5):984-986. |
| 快速康复外科护理在儿童人工耳蜗围手术期的应用 |
| Application of fast-track surgery nursing in perioperative period of children with cochlear-implantation |
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| DOI：10.3969/j.issn.1009-6469.2019.05.040 |
| 中文关键词: 快速康复外科 儿童 人工耳蜗 围手术期 |
| 英文关键词: Fast-track-surgery Child Cochlear Perioperative period |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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 (χ2＝4.98,P＜0.05).Conclusions FTS could contribute to the recovery of cochlear-implantation.It has a good prospect in clinical use. |
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