加速康复外科理念在达芬奇机器人手术治疗子宫内膜癌患者中的应用效果  

Application effect of enhanced recovery after surgery concept in da Vinci robotic surgeryfor endometrial carcinoma

作　　者：王婷[1] 刘雄涛[1] 席红娜 王敏[1] 闫齐齐 WANG Ting;LIU Xiongtao;XI Hongna;WANG Min;YAN Qiqi(Operating Room,The Second Affiliated Hospital of Xi􀆳an Jiaotong University,Xi􀆳an,Shaanxi,710000,China)

机构地区：[1]西安交通大学第二附属医院手术室,陕西西安710000

出　　处：《中西医结合护理（中英文）》2022年第9期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 评价加速康复外科(ERAS)干预对行达芬奇机器人手术的子宫内膜癌患者术前不适情况和并发症发生情况的影响。方法 回顾性分析2020年4月至2021年11月于西安交通大学第二附属医院接受达芬奇机器人手术治疗的120例子宫内膜癌患者的临床资料,按护理方法的不同分入对照组和观察组。对照组61例患者运用常规护理,观察组59例患者运用ERAS干预。比较2组的术前不适情况、并发症发生率和术后康复指标。结果 观察组的饥饿和口渴评分均低于对照组(P均<0.05)。观察组感染、肠梗阻及晚期切口疝等的并发症总发生率(1.69%)明显低于对照组(11.48%,P<0.05)。观察组的首次下床活动、进食、排气和排便时间均较对照组更早,住院时间较对照组更短(P均<0.05)。结论 对行达芬奇机器人手术治疗的子宫内膜癌患者实施ERAS干预,可改善其术前不适情况,降低并发症发生率,缩短术后康复时间。Objective To evaluate the effect of enhanced recovery after surgery(ERAS)intervention on the preoperative discomfort and complications of patients with endometrial cancer undergoing da Vinci robotic surgery.Methods The clinical data of 120 endometrial carcinoma patients undergoing da Vinci robotic surgery at the Second Affiliated Hospital of Xi􀆳an Jiaotong University between April 2020 and November 2021 were retrospectively analyzed.They were divided into a control group and an observation group according to different nursing methods.The 61 cases in the control group were treated with routine nursing,and the 59 cases in the observation group were treated with ERAS intervention.The preoperative discomfort,incidence of complications,and postoperative recovery indicators were compared between the two groups.Results The hunger and thirst scores of the observation group were significantly lower than those of the control group(both P<0.05).The total incidence of complications such as infection,intestinal obstruction,and late incisional hernia in the observation group was significantly lower than that in the control group(1.69%vs.11.48%,P<0.05).The time to ambulation,eating,exhaust,and defecation and the length of hospital stay in the observation group were shorter than those in the control group(all P<0.05).Conclusion The ERAS intervention can relieve the preoperative discomfort of endometrial carcinoma patients undergoing da Vinci robotic surgery,reduce the incidence of complications,and shorten the postoperative recovery time.

关 键 词：子宫内膜癌 达芬奇机器人 加速康复外科 并发症 术后康复 

分 类 号：R473.71[医药卫生—护理学]