胸腔闭式引流瓶专用移动器联合加速康复外科在肺癌术后患者中的应用效果  

Effect of Thoracic Closed Drainage Bottle-Specific Mover in Combination with Enhanced Recovery After Surgery in Patients After

作　　者：刘萍[1] 李萍 李思谊 Liu Ping;Li Ping;Li Siyi(Department of Cardiothoracic Surgery,Zigong First People's Hospital,Zigong 643000,China)

机构地区：[1]自贡市第一人民医院胸心外科,自贡643000

出　　处：《成都医学院学报》2023年第2期261-264,共4页Journal of Chengdu Medical College

摘　　要：目的 探索胸腔闭式引流瓶专用移动器联合加速康复外科(ERAS)理念在肺癌患者术后的应用效果。方法 选取2020年1月至2021年12月自贡市第一人民医院胸心外科住院部收治的460例肺癌实施手术治疗的患者为研究对象,按照随机数字表法分为常规干预组(RIV组)和胸腔闭式引流瓶专用移动器-加速康复外科组(Mover-ERAS组),每组230例。RIV组进行常规干预,Mover-ERAS组在常规干预基础上进行胸腔闭式引流瓶专用移动器联合ERAS理念干预。采用数字分级评分法(NRS)评估两组患者疼痛程度,对两组术后首次下床活动时间、肛门排气时间、胸腔闭式引流管拔管时间及脱管率等临床指标进行对比分析。结果 Mover-ERAS组患者NRS评分(4.73±1.24)分低于RIV组NRS评分(6.39±1.12)分(P<0.05);首次下床活动时间、肛门排气时间及胸腔闭式引流管拔管时间均低于RIV组(P<0.05);Mover-ERAS组无脱管不良事件发生,RIV组脱管率为1.30%,两组比较,差异无统计学意义(P> 0.05)。结论 胸腔闭式引流瓶专用移动器与ERAS护理理念相结合,可降低肺癌患者术后疼痛程度和脱管率,缩短术后首次下床活动时间、肛门排气时间及胸腔闭式引流管拔管时间。Objective To explore the effect of thoracic closed drainage bottle-specific mover combined with enhanced recovery after surgery(ERAS)in patients after lung cancer surgery.Methods A total of 460 post-surgery lung cancer patients in the inpatient department of cardiothoracic surgery of Zigong First People's Hospital from January 2020 to December 2021 were selected as the research subjects.They were divided into routine intervention group(RIV group,n=230)and Mover-ERAS group(n=230)according to random number table method.The RIV group received routine intervention,while the Mover-ERAS group received the intervention of thoracic closed drainage bottle-specific mover combined with ERAS concept on the basis of routine intervention.Postoperative pain was evaluated by Numerical Rating Scale(NRS).Clinical indexes such as postoperative first ambulation time,first time of anal exhaust,time of drainage tube extraction,and rate of accidental extubation were analyzed and compared between the two groups.Results The NRS score of patients in the Mover-ERAS group[(4.73±1.24)points]was significantly lower than that in the RIV group[(6.39±1.12)points](P<0.05).The postoperative first ambulation time,first time of anal exhaust and time of drainage tube extraction of patients in the Mover-ERAS group were significantly lower than those in the RIV group(P<0.05).No accidental extubation occurred in the Mover-ERAS group,and the rate of accidental extubation was 1.30%in the RIV group.There was no statistically significant difference in the rate of accidental extubation between the two groups(P>0.05).Conclusion The intervention of thoracic closed drainage bottle-specific mover combined with ERAS nursing concept could reduce postoperative pain and the rate of accidental extubation,shorten the time of postoperative first ambulation,postoperative first anal exhaust and drainage tube extraction for patients after lung cancer surgery.

关 键 词：肺癌患者 引流瓶专用移动器 加速康复外科 术后护理 临床效果 

分 类 号：R734.2[医药卫生—肿瘤]