首页|加速康复外科在非小细胞肺癌患者单孔胸腔镜手术围术期的应用效果

加速康复外科在非小细胞肺癌患者单孔胸腔镜手术围术期的应用效果

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目的 探讨加速康复外科(ERAS)在非小细胞肺癌(NSCLC)患者单孔胸腔镜手术围术期的应用效果.方法 选取2021 年5 月—2024年4 月天水市第四人民医院收治的 80 例NSCLC患者为研究对象,按照入院时间不同将其分为对照组(2021 年5 月—2022 年11 月)和ERAS组(2022 年12 月—2024 年4 月),每组 40 例.两组均行单孔胸腔镜手术,对照组采用常规干预,ERAS组在对照组基础上采用ERAS干预.比较两组患者的术后恢复情况、并发症发生率及护理满意度.结果 ERAS组的术后首次排气时间、尿管拔除时间、胸腔引流管拔除时间、住院天数均短于对照组,组间差异有统计学意义(P<0.05).ERAS组并发症发生率为 7.50%,低于对照组的 25.00%,差异有统计学意义(P<0.05).ERAS组的护理满意度为 92.50%,高于对照组的 72.50%,差异有统计学意义(P<0.05).结论 将ERAS干预应用于NSCLC患者单孔胸腔镜手术围手术期,可加快其术后康复,减少并发症,并可提高患者的护理满意度.
Application Effect of Enhanced Recovery after Surgery in Perioperative Period of Single Port Thoracoscopic Surgery for Non-Small Cell Lung Cancer Patients
Objective To evaluate the effect of enhanced recovery after surgery(ERAS)in perioperative period of single port thoracoscopic surgery for non-small cell lung cancer(NSCLC)patients.Methods Eighty patients with NSCLC admitted to the Tianshui Fourth People's Hospital from May 2021 to April 2024 were selected as the research objects,and were divided into a control group(May 2021 to November 2022)and an ERAS group(December 2022 to April 2024)according to different admission times,with 40 cases in each group.Both groups received single port thoracoscopic surgery,the control group received conventional intervention,and the ERAS group received ERAS intervention on the basis of the control group.The postoperative recovery,complication rate and nursing satisfaction of the two groups were compared.Results The first postoperative exhaust time,urinary tube removal time,thoracic drainage tube removal time and hospitalization days in the ERAS group were shorter than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the ERAS group was 7.50%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction in the ERAS group was 92.50%,which was higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion ERAS intervention in the perioperative period of single port thoracoscopic surgery in patients with NSCLC can accelerate postoperative recovery,reduce complications,and improve nursing satisfaction.

Non-Small cell lung cancerSingle port thoracoscopic surgeryEnhanced recovery after surgeryComplication

马克俭、杨军峰

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天水市第四人民医院心胸外科,甘肃 天水 741020

非小细胞肺癌 单孔胸腔镜手术 加速康复外科 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(14)