Objective:To investigate the effect of double-lumen tube tracheal intubation anesthesia guided by the concept of enhanced recovery after surgery(ERAS)on postoperative anesthesia recovery quality and safety of patients with non-small cell lung cancer undergoing thoracoscopic surgery.Methods:A total of 95 patients with non-small cell lung cancer who underwent thoracoscopic lobectomy from Dec.2021 to Mar.2023 were selected as the study subjects,and randomly divided into the ERAS group(n=48)and the control group(n=47)with envelope method.The control group received routine management and general anesthesia with double-lumen tube tracheal intubation.On this basis,the ERAS group received ERAS-guided management.Surgical time,hospital stay,hospi-talization costs,postoperative recovery time of spontaneous respiration,wake-up time,extubation time,and the levels of tumor necrosis factor-α,procalcitonin and C-reactive protein before and after surgery were compared between the two groups.The incidence of adverse reactions and pulmonary complications were calculated.Results:There was no statistically significant difference in surgical time between the ERAS group and the control group(P>0.05).The hospital stay,recovery time of spontaneous respiration,wake-up time,extubation time and hospitalization expenses in the ERAS group were significantly shorter/less than those in the control group(P<0.05).The levels of tumor necrosis factor-α,procalcitonin and C-reactive protein in ERAS group were significantly lower than those in the control group(P<0.05).There was no statistically significant difference in the incidence of postoperative adverse reactions and pulmonary complications between the two groups(P>0.05).Conclusions:Application of ERAS-guided double-lumen tube tracheal intubation anesthesia in thoracoscopic surgery for non-small cell lung cancer can effectively improve the patients'recovery quality,shorten hospital stay,decrease inflammatory factor levels,and promote the recovery process.
关键词
肺肿瘤/胸腔镜检查/加速康复外科/双腔气管插管麻醉/苏醒质量/安全
Key words
Lung neoplasms/Thoracoscopy/Enhanced recovery after surgery/Double-lumen tube tracheal intubation anesthe-sia/Quality of recovery/Safety
维普
万方数据