首页|手术部位标识对胸腔镜肺癌根治术患者血压及睡眠影响的研究

手术部位标识对胸腔镜肺癌根治术患者血压及睡眠影响的研究

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目的 通过对胸腔镜肺癌根治术患者术前标识情况的调查,探索手术标识的合适时机及标识形式,并探索手术部位标识对胸腔镜肺癌根治术患者血压及睡眠的影响.方法 收集作者医院心胸外科2021-05/2022-05月行胸腔镜肺癌根治术96例患者的临床资料.术前1天行胸部标记50例,纳入术前1天标记组;手术当天行胸部标记46例,纳入手术当天标记组.比较两组肺癌患者在进入麻醉准备间时的血压、心率、睡眠质量和焦虑自评量表评分(self-rating anxiety scale,SAS)以及术后视觉模拟评分法(visual analogue scale,VAS)疼痛评分是否存在差异.通过调查问卷的形式,筛选出患者更易接受的手术部位标识形式.结果 两组肺癌患者基线资料比较差异均无统计学意义(P>0.05).手术当天标记组胸腔镜肺癌根治术患者血压水平、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)评分明显低于术前1天标记组(P均<0.05),手环睡眠评分明显高于术前1天标记组(P<0.05).手术当天标记组胸腔镜肺癌根治术患者SAS评分、VAS疼痛评分明显低于术前1天标记组(P均<0.05).相较于各种不同标识,52名患者(54.17%)更倾向于采用"L"或"R"附加主刀医生姓名汉语拼音的首字母并大写的标识形式.结论 手术当天行胸部手术部位标记较手术前1天标记可能更利于肺癌患者血压、睡眠的稳定,改善患者的焦虑情绪和疼痛评分,而对于手术部位标识的表现形式可以给患者一定的自主选择权.
Effect of Surgical Site Identification on Blood Pressure and Sleep of Patients Undergoing Thoracoscopic Radical Resection of Lung Cancer
Objective To investigate the preoperative identification of patients undergoing thoracoscopic radical re-section of lung cancer and explore the appropriate timing and form of surgical identification,and explore the effect of sur-gical site identification on blood pressure and sleep of patients undergoing thoracoscopic radical resection of lung cancer.Methods The clinical data of 96 patients who underwent thoracoscopic radical resection of lung cancer in the department of cardiothoracic surgery of the author's hospital from May 2021 to May 2022 were collected.A total of 50 patients under-went chest identification one day before surgery and were included in the one day identification group before surgery;46 patients underwent chest identification on the day of surgery and were included in the identification group on the day of surgery.The blood pressure,heart rate,sleep quality,self-rating anxiety scale(SAS)scores and postoperative visual an-alogue scale(VAS)scores of the two groups of lung cancer patients were compared and analyzed.The identification form more acceptable to patients was screened out through a questionnaire.Results There was no statistically significant differ-ence in the baseline data of the two groups of lung cancer patients(P>0.05).The blood pressure level and Pittsburgh sleep quality index(PSQI)score of the patients in the identification group on the day of surgery were significantly lower than those in the identification group one day before surgery(all P<0.05),and the bracelet sleep score was significantly higher than that in the identification group one day before surgery(P<0.05).The SAS scores and VAS scores of the pa-tients in the identification group on the day of surgery were significantly lower than those in the identification group one day before surgery(all P<0.05).Compared with various different identifications,52 patients(54.17%)preferred to use the"L"or"R"mark plus the initials of surgeon's name in Pinyin.Conclusion Marking the thoracic surgical site on the day of surgery may be more conducive to reducing the perioperative safety risks of lung cancer patients than identification one day before surgery.Patients can be given a certain degree of autonomy in choosing the form of marking.

Radical resection of lung cancerSur-gical site identificationPerioperative periodSafety haz-ards

纪涛、王莎、王秀梅、刘盈、王紫琼

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430070 湖北武汉,中部战区总医院心胸外科

430070 湖北武汉,中部战区总医院皮肤科

430070 湖北武汉,中部战区总医院第四门诊部

肺癌根治术 手术标识 围手术期 安全隐患

2024

华南国防医学杂志
广州军区医学科学技术委员会

华南国防医学杂志

CSTPCD
影响因子:0.748
ISSN:1009-2595
年,卷(期):2024.38(11)