手术室高效配合干预在腹腔镜直肠癌根治术患者中的应用效果  

Application effect of efficient cooperation intervention in the operating room for patients undergoing laparoscopic rectal cancer radical surgery

作　　者：叶晨 李芝君 孙星星 YE Chen;LI Zhijun;SUN Xingxing(Department of Anesthesia and Perioperative Medicine,He’nan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,He’nan,China)

机构地区：[1]河南省人民医院/郑州大学人民医院麻醉与围术期医学科,郑州4500030

出　　处：《癌症进展》2024年第3期323-326,共4页Oncology Progress

摘　　要：目的探讨手术室高效配合干预在腹腔镜直肠癌根治术患者中的应用效果。方法依据手术室干预措施的不同将220例直肠癌手术患者分为对照组和观察组,每组110例,对照组患者给予常规手术室干预,观察组患者给予手术室高效配合干预。比较两组患者的手术相关指标、心理应激情况[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生理应激指标[内皮素(ET)、C反应蛋白(CRP)]及对手术室工作的满意度。结果观察组患者手术时间、术后首次排气时间、住院时间均明显短于对照组,术中出血量明显少于对照组,术后1天视觉模拟评分法(VAS)评分明显低于对照组,差异均有统计学意义(P﹤0.01)。术后5天,两组患者SAS、SDS评分均低于本组术前1天,观察组患者SAS、SDS评分均低于对照组,差异均有统计学意义(P﹤0.05)。术后3天,两组患者ET、CRP水平均高于本组术前1天,观察组患者ET、CRP水平均低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者对手术室工作的满意度为100%,高于对照组患者的94.55%,差异有统计学意义(P﹤0.05)。结论手术室高效配合干预应用于腹腔镜直肠癌根治术患者,可有效改善患者的心理应激和生理应激指标,促进术后恢复,患者对手术室工作的满意度较高。Objective To analyze the application effect of efficient cooperation intervention in the operating room for patients undergoing laparoscopic rectal cancer radical surgery.Method A total of 220 rectal cancer surgery patients were divided into control group and observation group based on different intervention measures in the operating room,with 110 patients in each group.The control group received routine operating room intervention,while the observation group received efficient cooperation intervention in the operating room.The surgical related indicators,psychological stress[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],physiological stress indicators[endothelin(ET),C-reactive protein(CRP)],and satisfaction with operating room work were compared between the two groups.Result The surgical time,first postoperative exhaust time,and hospital stay in the observation group were significantly shorter than those in the control group,the intraoperative bleeding was significantly less than that in the control group,and the one day after surgery visual analogue scale(VAS)score was significantly lower than that in the control group,the differences were statistically significant(P<0.01).Five days after surgery,the SAS and SDS scores of both groups were lower than those of the one day before surgery,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Three days after surgery,the levels of ET and CRP in both groups were higher than those of the one day before surgery,while the levels of ET and CRP in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction rate with operating room work in the observation group was 100%,which was higher than 94.55%in the control group,the difference was statistically significant(P<0.05).Conclusion The efficient cooperation intervention in the operating room for patients undergoing laparoscopic re

关 键 词：直肠癌 手术室高效配合干预 腹腔镜根治术 应激指标 

分 类 号：R735.37[医药卫生—肿瘤]