|
|
|
| Effectiveness of accelerated rehabilitation surgery for evaluating the perioperative scores by NRs, SAS and SDS of the patients with cesarean scar pregnancy |
| Beijing Obstetrics and Gynecology Hospital, Capital Medical University/Beijing Maternal and child Health Care Hospital, 100006 |
|
|
|
|
Abstract To explore the effect of accelerated rehabilitation surgery (ERAS) for evaluating perioperative emotion and pain of patients with cesarean scar pregnancy (CSP) during uterine artery embolization (UAE). Methods: 100 patients with CSP in this study were treated with UAE and hysteroscopic pregnancy tissue resection from January 2019 to June 2020. These patients were randomly divided into two groups (50 cases in each group) by random number table. During the perioperative period, the patients in the control group were given routine nursing intervention, and the patients in the study group were given ERAS management. Self rating Anxiety Scale (SAS), self rating Depression Scale (SDS), and digital Rating Scale (NRs) were used to evaluate the effect of the patients in the two groups before and after intervention. The patients with NRs score > 3 points were given intravenous analgesia with flurbiprofen axetil. The NRs score and the time of NRs score reduced to ≤ 3 points of the patients in the two groups after analgesia were observed. The psychological status, pain index, and clinical examination index of the patients were compared between the two groups. Results: After intervention, the scores of SAS (26.18±4.38 points) and SDS (29.15±5.75 points) of the patients in the study group were significantly lower than those (31.25±3.28 points and 35.09±4.97 points) of the patients in the control group (P＜0.05). The patients in both groups had different degrees of pain after UAE, and there was no significant different in median NRs score of the patients between the two groups (P＞0.05). However, the NRs scores of the patients in the study group in 60min and 120min after analgesia (3.0 ［2.0, 5.0］ and 2.0 ［1.0, 4.0］) were significantly lower than those (4.0 ［3.0, 5.0］ and 3.0 ［2.0, 5.0］) of the patients in the control group (P＜0.05). Conclusion: ERAS model is helpful to improve the negative emotion and relieve the degree of pain of the patients with CSP after UAE. Flurbiprofen axetil used as analgesic treatment after UAE is safe and effective, which can improve the comfort and satisfaction of patients during the treatment process.
|
|
|
|
|
|
|
|
|
