Introduction Congenital heart disease(CHD)is the most common birth defect with complex CHD contributing to 20%–30%of this disease[1].Overall survival rates of cCHD have improved substantially,thanks to remarkable pro...Introduction Congenital heart disease(CHD)is the most common birth defect with complex CHD contributing to 20%–30%of this disease[1].Overall survival rates of cCHD have improved substantially,thanks to remarkable progress in surgical techniques and perioperative care over the past three decades.In-hospital mortality rate during 2017–2021 for CHD-associated surgery in China is approximately 0.8%–1.0% and 2.5%–3.8% for complex CHD[2].Brain injury and later neurodevelopmental impairment(NDI)are the most enduring and detrimental complications for patients with complex CHD.As a growing number of individuals with complex CHD survive into adulthood,the impact and high incidence of NDI should be addressed.Moreover,there needs to be a research shift from improving survival to improving whole life quality,particularly in perioperative neuroprotection,persistent neurodevelopmental evaluation and early intervention.展开更多
目的研究加速康复外科理念(enhanced recovery after surgery,ERAS)在心律失常接受心脏射频消融术(catheter radiofrequency ablation,CRA)治疗患者围术期的应用效果。方法选取广东省人民医院心内一区收治的心律失常行CRA治疗患者84例,...目的研究加速康复外科理念(enhanced recovery after surgery,ERAS)在心律失常接受心脏射频消融术(catheter radiofrequency ablation,CRA)治疗患者围术期的应用效果。方法选取广东省人民医院心内一区收治的心律失常行CRA治疗患者84例,按照护理方案分为ERAS组与常规组,ERAS组实施基于ERAS理念的护理方案,常规组实施常规护理方案,分析两组患者术后各时间节点舒适状况量表(general comfort questionnaire,GCQ)评分、日常生活能力量表(activity of daily living scale,ADL)评分、数字评定量表(numerical rating scale,NRS)评分及术后首次下床时间、并发症发生率、护理满意度等差异。结果与常规组比较,ERAS组患者术后T1、T2时间点CGQ评分、ADL评分均显著高于常规组(均P<0.05);术后T1、T2、T3时间点NRS评分均显著低于常规组(均P<0.05);术后首次下床时间显著提前(P<0.05);且不增加穿刺部位血管并发症发生率(P>0.05);术后尿潴留及呕吐≥2次的发生率均显著下降(均P<0.05);两组患者护理满意度无差异(P>0.05)。结论心律失常行CRA治疗患者围术期使用ERAS护理方案,可显著提高术后舒适度、改善术后疼痛、缩短术后卧床时间、促进早期自理能力恢复,并减少术后相关并发症的发生。展开更多
文摘Introduction Congenital heart disease(CHD)is the most common birth defect with complex CHD contributing to 20%–30%of this disease[1].Overall survival rates of cCHD have improved substantially,thanks to remarkable progress in surgical techniques and perioperative care over the past three decades.In-hospital mortality rate during 2017–2021 for CHD-associated surgery in China is approximately 0.8%–1.0% and 2.5%–3.8% for complex CHD[2].Brain injury and later neurodevelopmental impairment(NDI)are the most enduring and detrimental complications for patients with complex CHD.As a growing number of individuals with complex CHD survive into adulthood,the impact and high incidence of NDI should be addressed.Moreover,there needs to be a research shift from improving survival to improving whole life quality,particularly in perioperative neuroprotection,persistent neurodevelopmental evaluation and early intervention.
文摘目的研究加速康复外科理念(enhanced recovery after surgery,ERAS)在心律失常接受心脏射频消融术(catheter radiofrequency ablation,CRA)治疗患者围术期的应用效果。方法选取广东省人民医院心内一区收治的心律失常行CRA治疗患者84例,按照护理方案分为ERAS组与常规组,ERAS组实施基于ERAS理念的护理方案,常规组实施常规护理方案,分析两组患者术后各时间节点舒适状况量表(general comfort questionnaire,GCQ)评分、日常生活能力量表(activity of daily living scale,ADL)评分、数字评定量表(numerical rating scale,NRS)评分及术后首次下床时间、并发症发生率、护理满意度等差异。结果与常规组比较,ERAS组患者术后T1、T2时间点CGQ评分、ADL评分均显著高于常规组(均P<0.05);术后T1、T2、T3时间点NRS评分均显著低于常规组(均P<0.05);术后首次下床时间显著提前(P<0.05);且不增加穿刺部位血管并发症发生率(P>0.05);术后尿潴留及呕吐≥2次的发生率均显著下降(均P<0.05);两组患者护理满意度无差异(P>0.05)。结论心律失常行CRA治疗患者围术期使用ERAS护理方案,可显著提高术后舒适度、改善术后疼痛、缩短术后卧床时间、促进早期自理能力恢复,并减少术后相关并发症的发生。
