加速康复外科理念联合精细化管理对卵巢癌根治术患者术中生理应激及并发症的影响  

Impacts of the concept of accelerated rehabilitation surgery combined with the refined management for patients with ovarian cancer on their physiological stress during the radical ovarian cancer surgery and the postoperative complications

作　　者：张兴月 任春玲[1] 杨玉芬[1] 吕文静 ZHANG Xingyue;REN Chunling;YANG Yufen;LV Wenjing(Liaocheng Second People's Hospital,Liaocheng,Shandong Province,252600)

机构地区：[1]山东省聊城市第二人民医院,252600

出　　处：《中国计划生育学杂志》2024年第6期1375-1378,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨加速康复外科理念联合精细化管理对卵巢癌根治术患者术中生理应激及并发症的影响。方法:选取2022年2月-2023年10月于本院行卵巢癌根治手术的患者100例随机分为两组,分别给予常规护理(常规组),加速康复外科理念联合精细化管理护理(观察组),比较两组术中生理应激及并发症发生情况。结果:手术时间、术中出血量两组无差异(P>0.05);观察组麻醉后5min心率(72.8±5.7次/min)、舒张压(65.7±7.2 mmHg)及收缩压(114.6±8.7 mmHg)均低于常规组(84.8±6.6次/min、81.1±8.8 mmHg、140.1±12.9 mmHg),术后并发症发生率(6.0%)低于常规组(20.0%)(均P<0.05)。结论:采用加速康复外科理念联合精细化管理对卵巢癌根治术患者进行护理干预,能够有效减轻患者术中生理应激,降低术后并发症发生率。Objective:To explore the impacts of the concept of accelerated rehabilitation surgery(CARS)combined with the refined management for patients with ovarian cancer on their physiological stress during the radical ovarian cancer surgery and the postoperative complications.Methods:100 patients with ovarian cancer who wanted radical ovarian cancer surgery were selected and were randomly assigned into two groups.The patients in the control group received the routine nursing intervention,while the patients in the study group received CARS combined with the refined management.The physiological stress and the incidence of complications during surgery of the patients were compared between the two groups.Results:There were no significant differences in the operation time and the intraoperative blood loss of the patients between the two groups(P>0.05).The values of the heart rate(72.8±5.7 beats/min),diastolic blood pressure(65.7±7.2 mmHg)and systolic blood pressure(114.6±8.7 mmHg)of the patients in the study group at 5 minutes after anesthesia were significantly lower than those(84.8±6.6 beats/min,81.1±8.8 mmHg and 140.1±12.9 mmHg)of the patients in the control group.The incidence of the postoperative complications(6.0%)of the patients in the study group was significantly lower than that(20.0%)of the patients in the control group(all P<0.05).Conclusion:CARS combined with the refined management for nursing intervation of the patients with ovarian cancer can effectively alleviate their intraoperative physiological stress and reduce their postoperative complications incidence.

关 键 词：卵巢癌根治术 加速康复外科理念 精细化管理 生理应激 并发症 

分 类 号：R473.73[医药卫生—护理学]