手术室量化评估对乳腺癌血清内皮素、一氧化氮和C反应蛋白水平的影响  

Effects of quantitative evaluation of efficiency of operating room on endothelin,NO and C-reactive protein levels in breast cancer patients

作　　者：李珺 巨丽萍 LI Jun;JU Li-ping(Department of Surgery,Shaanxi Nuclear Industry 215 Hospital,Shaanxi,Xianyang 712000,China)

机构地区：[1]陕西省核工业215医院外科,咸阳712000

出　　处：《中国肿瘤临床与康复》2020年第11期1385-1388,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨手术室量化评估对乳腺癌患者内皮素(ET)、一氧化氮(NO)和C反应蛋白(CRP)水平的影响。方法选取2018年5月至2020年5月间陕西省核工业215医院诊治的110例乳腺癌患者为研究对象。根据采用的护理方法不同进行分组,采用常规手术室护理的55例患者纳入对照组,在常规护理的基础上应用手术室量化评估策略的55例患者纳入观察组。比较两组患者护理前后心率、血压、ET、NO、CRP水平及护理满意率。结果护理前,两组患者的血压和心率比较,差异无统计学意义(P>0.05);护理后,上述指标均升高,观察组的心率、收缩压和舒张压均低于对照组,差异均有统计学意义(均P<0.05)。护理前,两组患者的ET、NO及CRP水平比较,差异无统计学意义(P>0.05);护理后,上述指标均升高,观察组ET、NO及CRP水平均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者的护理满意度为92.7%,高于对照组的76.4%,差异有统计学意义(P<0.05)。结论采用手术室量化评估策略的乳腺癌患者的心率、血压波动较小,应激反应轻,患者的护理满意率较高,值得临床借鉴。Objective To explore the effects of quantitative evaluation of efficiency of operating room on endothelin(ET),NO and C-reactive protein(CRP)levels in breast cancer patients.Methods One hundred and ten breast cancer patients were selected at Shaanxi Nuclear Industry 215 Hospital from May 2018 to May 2020.They were divided into two groups based on the nursing they received with 55 patients each.The observation group was given quantitative evaluation of efficiency of operating room apart from the conventional nursing and the control group was only given conventional operating room nursing.Heart rate,blood pressure,ET,NO,CRP level and patient satisfaction with nursing were compared between the two groups before and after nursing.Results There was no statistical difference in blood pressure and heart rate between the two groups before nursing(P>0.05).The above indicators were significantly increased after nursing(all P<0.05).Heart rate,systolic blood pressure and diastolic blood pressure were lower in the observation group than in the control group(all P<0.05).There was no statistical difference in ET,NO and CRP levels between the two groups before nursing(P>0.05).The above indicators were significantly increased in both groups after nursing and ET,NO and CRP levels were lower in the observation than in the control group(all P<0.05).Patient satisfaction with nursing was 92.7%in the observation group which was higher than 76.4%of the control group(P<0.05).Conclusion Changes in heart rate and blood pressure are small in breast cancer patients using quantitative evaluation of efficiency of oper-ating room with little stress response and high patient satisfaction with nursing,which was worthy of clinical reference.

关 键 词：手术室量化评估策略 乳腺肿瘤 血清内皮素 一氧化氮 C反应蛋白 

分 类 号：R737.9[医药卫生—肿瘤]