探讨甲状腺乳头状癌术后不放置引流在快速康复外科中的应用及护理  

The feasibility and care strategy for fast track surgery of no drainage tube applied during the operation of thyroid papillary carcinoma

作　　者：曾翠芳[1] 马宇[1] 贾颖[1] 李卡[1] ZENG Cuifang;MA Yu;JIA Ying;LI Ka(Thyroid Surgery,West China Hospital,Sichuan University,Chengdu,Sichuan 611730,China)

机构地区：[1]四川大学华西医院甲状腺外科,成都611730

出　　处：《重庆医学》2019年第A01期124-127,共4页Chongqing medicine

摘　　要：目的探讨甲状腺乳头状癌术后不安置引流管在快速康复外科中的应用及护理。方法回顾性分析2017年6月至2018年3月该院甲状腺外科同一医疗组收治的48例甲状腺乳头状癌手术患者的临床资料,对比安置引流管(对照组,24例)与不安置引流管(观察组,24例)患者术后血肿、感染、皮下积液及术后住院时间、疼痛评分、患者满意度等。结果两组患者术后血肿、感染、皮下积液发生情况比较,差异均无统计学意义(P>0.05);观察组患者术后住院时间、疼痛评分、患者满意度均明显优于对照组,差异均有统计学意义(P<0.05)。结论甲状腺乳头状癌行甲状腺全切、中央区淋巴结清扫术患者术后不安置引流管结合针对性护理措施不会导致血肿、感染、皮下积液等并发症发生概率的增加,反而在快速康复理念中能缩短住院时间、减轻伤口疼痛、提高患者满意度。Objective To explore the feasibility and care strategy for patients' fast track after the operation of thyroid papillary carcinoma with no drainage tube application. Methods Patients undergone the operation of thyroid papillary carcinoma from June 2017 to March 2018 were enrolled in this retrospective study.All patients were from the same medical teams composed with the same attending doctors.They were divided into two groups according to the drainage tube applied or not.Finally the incidence of postoperative hematoma,infection,subcutaneous effusion were compared between two groups,while the length of stay,pain score after operation and satisfaction of patients were also analyzed. Results The incidences of postoperative hematoma,infection,subcutaneous effusion were totally similar between two groups.While the length of stay and pain score was significantly less,satisfaction of patients were higher in group of no drainage tube applied( P <0.05). Conclusion No drainage tube application accompanied by target care strategy is feasible in thyrotomy with central area lymph node dissection.The incidences of postoperative hematoma,infection,subcutaneous effusion were totally equal to those with drainage tube applied.Howevr,the length of stay was significantly shorter,the pain score was lower,patient' satisfaction were higher for patients with no drainage tube applied.Which greatly contributed to the proposal of fast track surgery.

关 键 词：甲状腺乳头状癌 引流 快速康复外科 护理 

分 类 号：R736.1[医药卫生—肿瘤]