Application of enhanced recovery after surgery strategy in perioperative period of kidney transplant patients

doi:10.3969/j.issn.2095-5332.2020.03.003

Practical Journal of Organ Transplantation(Electronic Version) ›› 2020, Vol. 8 ›› Issue (3): 170-173.DOI: 10.3969/j.issn.2095-5332.2020.03.003

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Application of enhanced recovery after surgery strategy in perioperative period of kidney transplant patients

Li Hongqin，Mu Hanmeng.

Department of Urology，the First Hospital of Jilin University，Changchun 130012，Jilin，China

Online:2020-05-20 Published:2021-06-02

加速康复外科理念在肾移植患者围术期的应用分析

李红芹，慕晗梦

吉林大学第一医院泌尿外二科，吉林长春 130012

Abstract

Abstract:

Objective To explore the application and clinical effect of enhanced recovery after surgery （ERAS）strategy in patients undergoing renal transplantation. Methods A total of 188 patients undergoing renal transplantation from July 2017 to July 2018 were assigned into a control group and an intervention group， patients in control group received conventional perioperative care and patients in intervention group received ERAS intervention. Results The intervention group showed lower self-rating anxiety scale（SAS）scores（P ＜ 0.05）， experienced shorter postoperative hospital stay（P ＜ 0.05）compared with the control group. The complications and patient satisfaction didn’t show statistical differences（all P ＞ 0.05）. Besides，hospitalization costs decreased in intervention group（P ＜ 0.05）. Conclusion Application of ERAS concept in perioperative period of renal transplantation accelerated rehabilitation，shortened postoperative hospital stay and decreased costs.

Key words: Enhanced recovery after surgery, Renal transplantation, Perioperative period

摘要：

目的探讨加速康复外科（enhanced recovery after surgery，ERAS）在肾移植患者围术期的应用方式及临床疗效。方法选取 2017 年 7 月— 2018 年 7 月在吉林大学第一医院接受肾移植手术的 188 例尿毒症患者，将其分为对照组及观察组。对照组给予传统的围术期护理措施，观察组给予由医护人员共同制定的围术期加速康复外科护理措施。结果与对照组相比，观察组术后住院天数缩短（P ＜ 0.05），焦虑症状自评量表（self-rating anxiety scale，SAS）得分项平均水平低（P ＜ 0.05），并发症发生率无统计学差异（P ＞ 0.05），住院期间患者满意度无统计学差异（P ＞ 0.05），住院花费减少（P ＜ 0.05）。结论 ERAS 理念应用于肾移植术后患者围术期管理，将会加速术后康复、缩短住院天数以及减少住院花费。

关键词: 加速康复外科 , 肾移植 , 围术期

Li Hongqin, Mu Hanmeng..

Application of enhanced recovery after surgery strategy in perioperative period of kidney transplant patients

[J]. Practical Journal of Organ Transplantation(Electronic Version), 2020, 8(3): 170-173.

李红芹, 慕晗梦.

加速康复外科理念在肾移植患者围术期的应用分析

[J]. 实用器官移植电子杂志, 2020, 8(3): 170-173.

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URL: https://syqgyz.magtechjournal.com/EN/10.3969/j.issn.2095-5332.2020.03.003

https://syqgyz.magtechjournal.com/EN/Y2020/V8/I3/170

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Application of enhanced recovery after surgery strategy in perioperative period of kidney transplant patients

加速康复外科理念在肾移植患者围术期的应用分析

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