围手术期护理干预在3D电视胸腔镜肺癌根治术中的作用  

Role of perioperative nursing care in 3D video assisted thoracic surgery for lung cancer

作　　者：关丹丹[1] 刘微[1] 

机构地区：[1]中国医科大学附属盛京医院胸外科,沈阳110004

出　　处：《中国肿瘤临床与康复》2017年第8期992-994,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨围手术期护理干预在3D电视胸腔镜肺癌根治术中的作用。方法选取2013年7月至2016年4月间在中国医科大学附属盛京医院行3D电视胸腔镜肺癌根治术治疗的55例肺癌患者,所有患者均采用全方位围手术期护理,分析患者的治疗和护理效果。结果 55例患者中,52例患者顺利完成3D电视胸腔镜肺癌根治术,手术成功率为94.6%。52例患者平均手术时间为(177±59)min,术中出血量为(113±48)ml。术后自觉切口痛感均较轻,术后12h的VAS疼痛评分为(3.5±2.7)分,术后1d内均可下床活动,术后4d内胸腔引流管均拔除且恢复生活自理能力,术后住院时间(5.2±2.6)d,出院时手术侧肩关节活动范围与手术前一致。所有患者均顺利恢复,无肺不张、肺部感染和出血等严重并发症发生。护理服务满意度为96.2%。结论围手术期护理干预3D电视胸腔镜肺癌根治术患者,治疗效果确切,值得临床推广应用。Objective To investigate the role of perioperative nursing intervention in three-dimen- sional （3D） video-assisted thoracic surgery （VATS） for lung cancer. Methods From July 2013 to April 2016, 55 patients with lung cancer who were scheduled to undergo 3D VATS at Shengjing Hospital Affiliated to China Medical University were selected as subjects. Patients underwent a full range of peri-operative nursing. Efficacy of treatment and nursing was retrospectively analyzed. Results A total of 55 patients were enrolled in the study, among which 52 patients successfully completed 3D VATS and the success rate was 94. 6%. Mean duration of surgery was （ 177 ± 59 ） rain and volume of perioperative blood loss was （113 ±48） ml for the 52 patients, self-perceived incision pain was mild. At 12 h after the surgery, VAS pain score was （ 3.5 ± 2. 7 ） points. At 1 d after the surgery, out-of-bed activity is possible. At 4 d after the surgery, a chest tube was extubated and patients recovered their self-care abilities. Length of hospital stay was （5.2 ± 2. 6） d. At discharge, shoulder range of motion was consistent with before the surgery. Recov- ery was successfully achieved in all the patients without serious complications including ateleetasis, pulmo- nary infection and bleeding and no perioperative mortality occurred. Patient satisfaction with nursing care was 96. 2%. Conclusion In the treatment of lung cancer with 3D VATS, perioperative nursing interven- tion is effective and worthy of clinical application.

关 键 词：电视胸腔镜 肺癌根治术 围手术期 

分 类 号：R473.73[医药卫生—护理学]