加速康复外科干预模式对宫颈癌根治术后患者围手术期指标及预后的影响  

Effect of accelerated recovery intervention on perioperative indicators and prognosis of patients with cervical cancer after radical hysterectomy

作　　者：吕桂荣[1] 李魏[1] 王华[1] LV Guirong;LI Wei;WANG Hua(Department of Gynecology,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China)

机构地区：[1]郑州大学第三附属医院妇科

出　　处：《癌症进展》2019年第16期1978-1981,共4页Oncology Progress

摘　　要：目的探讨加速康复外科干预模式对宫颈癌根治术后患者围手术期指标及预后的影响。方法根据护理干预方式的不同将102例行宫颈癌根治术的早期宫颈癌患者分为观察组(n=52)和对照组(n=50),观察组患者接受加速康复外科干预,对照组患者接受常规护理干预。比较两组患者的围手术期相关指标和健康知识掌握得分情况,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对患者的焦虑和抑郁情绪进行评分,比较两组患者干预前后的免疫功能指标[免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)]和术后并发症的发生情况。结果观察组患者的住院时间、术后禁食时间均明显短于对照组患者,住院费用明显少于对照组患者,健康知识掌握得分明显高于对照组患者(P﹤0.01)。干预后,观察组患者的SAS、SDS评分均明显低于对照组患者,IgA、IgM、IgG水平均明显高于对照组患者(P﹤0.01)。观察组患者术后并发症的总发生率为9.6%,低于对照组患者的30.0%(P﹤0.05)。结论加速康复外科干预模式能够明显改善早期宫颈癌根治术后患者的焦虑、抑郁情绪,保护患者机体的免疫功能,加快患者的康复进程,缩短住院时间,减少医疗费用,降低术后并发症的总发生率,改善患者预后,值得临床推广应用。Objective To explore the effect of accelerated recovery intervention on perioperative indicators and prognosis of patients with cervical cancer after radical hysterectomy.Method The research included 102 patients with early cervical cancer who were treated with radical hysterectomy,by different nursing care,these patients were assigned into study group(n=52)and control group(n=50),respectively.Patients in study group received accelerated recovery intervention,while those in control group received routine nursing care.The perioperative indicators and health knowledge scores of patients in both groups were compared,besides,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were employed to assess the changes of anxiety and depression among all patients,additionally,the immune function markers[immunoglobulin A(IgA),immunoglobulin M(IgM),immunoglobulin G(IgG)]before and after intervention,and the incidence of postoperative complications were also assessed.Result The length of hospitalization and postoperative fasting time were shorter,and hospitalization expenses were less in the study group compared to control group,but the scores of health knowledge were higher than those in the control group(P<0.01).After intervention,the SAS and SDS in study group were lower than those in control group,besides,the levels of IgA,IgM and IgG were significantly higher in study group than those in control group(P<0.01).The overall incidence of complications in study group was 9.6%,which was significantly lower than the 30.0%in control group(P<0.05).Conclusion Accelerated recovery intervention mode is essentially useful in improving the anxiety and depression of patients after radical hysterectomy for early cervical cancer,protecting the immune function,accelerating the recovery process of patients,with shorter hospital stay,less medical costs,and lower incidence of complications after surgery,and thus may improve the prognosis.

关 键 词：加速康复外科干预 宫颈癌 并发症 焦虑 抑郁 

分 类 号：R737.33[医药卫生—肿瘤]