加速康复外科在高血压脑出血手术患者中的应用

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Abstract Objective To explore the application value and safety of enhanced recovery after surgery (ERAS) in perioperative patients with hypertensive intracerebral hemorrhage. Methods One hundred and sixty-four patients with hypertensive intracerebral hemorrhage, treated in the Affiliated Hospital of Southwest Medical University from June 2014 to June 2016 were collected. The patients were divided into traditional group (82 cases) and ERAS group (82 cases) according to random number table method. The postoperative recovery of postoperative Glasgow outcome score (GOS), activities of daily living (ADL) and Fugl-Meyer assessment scale (FMA) scores in the two groups were compared. Results There was no significant difference in Glasgow coma scale (GCS) score between the two groups at admission (P ＞ 0.05). After 1, 6 months of follow-up, the condition of GOS score in the ERAS group was better than that in the traditional group (P ＜ 0.05). The percentage of patients with good prognosis at 1, 6 months after operation in ERAS group was higher than that in the traditional group (P ＜ 0.05). At 1, 6 months after operation, the scores of ADL and FMA in the two groups were higher than those at admission (P ＜ 0.05), which in ERAS group were higher than those in traditional group (P ＜ 0.05). The time of patients staying in hospital in ERAS group was significantly shorter than that in traditional group (P ＜ 0.05). The incidence of re-bleeding, cerebral infarction, mental disorder, urinary tract infection and bedsore after operation in ERAS group were significantly lower than those in the traditional group, and the differences were statistically significant (P ＜ 0.05). There was no significant difference in the incidence of intracranial infection, epilepsy and lung infection between the two groups (P ＞ 0.05). Conclusion ERAS is safe and effective in the patients with hypertensive intracerebral hemorrhage during perioperative period, and it does not increase the risk of complications. ERAS is beneficial to postoperative rehabilitation and shorten the time of hospitalization.

Key words： Enhanced recovery after surgery Hypertensive cerebral hemorrhage Prognosis

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	HUANG Liheng LONG Liangchun YANG Qiumin GUO Shengmin

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HUANG Liheng LONG Liangchun YANG Qiumin GUO Shengmin. Application of enhanced recovery after surgery in patients with hypertensive cerebral hemorrhage[J]. 中国医药导报, 2019, 16(8): 68-71.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I8/68

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