| 基于ERAS理念的麻醉苏醒期护理对老年髋部骨折全麻手术患者术后谵妄的影响 |
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| 引用本文： | 朱红艳,徐维昉.基于ERAS理念的麻醉苏醒期护理对老年髋部骨折全麻手术患者术后谵妄的影响[J].中华全科医学,2022,20(3):519-522. |
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| 作者姓名： | 朱红艳 徐维昉 |
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| 作者单位： | 新疆医科大学第一附属医院麻醉科，新疆 乌鲁木齐 830001 |
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| 基金项目： | 新疆维吾尔自治区自然科学基金计划基金项目2017D01C287 |
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| 摘 要： | 目的 探讨基于快速康复外科(enhanced recovery after surgery,ERAS)理念的麻醉苏醒期护理对老年髋部骨折全麻手术患者术后谵妄(postoperative delirium,POD)的影响.方法 选取2017年1月-2019年12月在新疆医科大学第一附属医院择期行髋部骨折手术的老年患者10...
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| 关 键 词： | 快速康复外科 骨科 髋部骨折 老年 术后谵妄 |
| 收稿时间： | 2021-04-23 |
Influence of anaesthesia recovery nursing based on enhanced recovery after surgery on post-operative delirium in elderly patients under general anaesthesia for hip fracture surgery |
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| Affiliation: | Department of Anaesthesiology, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830001, China |
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| Abstract: | Objective To investigate the influence of anaesthesia recovery nursing based on enhanced recovery after surgery (ERAS) on postoperative delirium (POD) in elderly patients undergoing general anaesthesia for hip fracture surgery. Methods A total of 100 elderly patients who underwent elective hip fracture surgery in our hospital from January 2017 to December 2019 were selected, and they were randomly divided into the control group (n=50) and the observation group (n=50). The patients in the control group received routine nursing, whereas those in the observation group received anaesthesia recovery nursing based on ERAS. The occurrence of POD and delirium-related adverse events, post-operative recovery and nursing satisfaction were compared between the two groups. Results The incidence rates of POD in the observation and control groups were 12.00% and 30.00%, respectively, and with delirium durations of (3.42±1.09) h and (4.74±1.31) h, respectively (all P < 0.05). The incidence of POD-related adverse events including fall/bed fall, unplanned extubation and stress injury were lower than the control group, which were statistically significant (all P < 0.05).In the postoperative recovery of the observation group, extubation time, residence time after anesthesia recovery room (PACU), directional force recovery time and postoperative hospitalization time were shorter than the control group, all statistically significant (all P < 0.05). The nursing satisfaction of the observation group was higher than that of the control group (P < 0.05). Conclusion Anaesthesia recovery nursing based on ERAS can effectively prevent the occurrence of POD and promote post-operative recovery in elderly patients undergoing general anaesthesia surgery for hip fracture. |
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