快速康复外科干预在喉癌手术患者中的应用效果  

Application effect of rapid rehabilitation surgical intervention in patients with laryngeal cancer undergoing surgery

作　　者：刘宁[1] 卫伟[1] 李瑞 卜云云 LIU Ning;WEI Wei;LI Rui;BU Yunyun(Department of Operation(2),the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院手术部(2),郑州450000

出　　处：《癌症进展》2024年第14期1613-1616,共4页Oncology Progress

摘　　要：目的探讨快速康复外科干预在喉癌手术患者中的应用效果。方法根据干预方式的不同将72例喉癌手术患者分为常规组(n=35)和快速康复外科干预组(n=37),常规组患者围手术期接受常规干预,快速康复外科干预组患者在常规组的基础上接受快速康复外科干预。比较两组患者的术后恢复指标、营养指标、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]及并发症发生情况。结果快速康复外科干预组患者胃管拔除时间、进食恢复时间及术后住院时间均短于常规组,并发症总发生率低于常规组,差异均有统计学意义(P﹤0.05)。干预第5天,两组患者血红蛋白、白蛋白水平均低于本组干预前,快速康复外科干预组患者血红蛋白、白蛋白水平均高于常规组,差异均有统计学意义(P﹤0.05)。干预后,两组患者SDS、SAS评分均低于本组干预前,快速康复外科干预组患者SDS、SAS评分均低于常规组,差异均有统计学意义(P﹤0.05)。结论快速康复外科干预可以缩短喉癌手术患者的住院时间,促进患者术后恢复,改善患者的营养状态和心理状态,并且降低并发症的发生率。Objective To investigate the application effect of rapid rehabilitation surgical intervention in patients with laryngeal cancer undergoing surgery.Method A total of 72 laryngeal cancer patients who underwent surgery were divided into conventional group(n=35)and rapid rehabilitation surgical intervention group(n=37)according to different intervention methods.The conventional group received conventional intervention during perioperative period,the rapid rehabilitation surgical intervention group received rapid rehabilitation surgical intervention on the basis of the conventional group.The postoperative recovery indicators,nutritional indicators,psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]and the incidence of complications were compared between the two groups.Result The gastric tube removal time,feeding recovery time and postoperative hospitalization time in rapid rehabilitation surgical intervention group were shorter than those in conventional group,the total incidence of complications was lower than that in conventional group,and the differences were statistically significant(P<0.05).On the 5th day of intervention,the hemoglobin and albumin levels in two groups were lower than those before intervention,the hemoglobin and albumin levels in rapid rehabilitation surgical intervention group were higher than those in conventional group,and the differences were statistically significant(P<0.05).After intervention,the scores of SDS and SAS in two groups were lower than those before intervention,the scores of SDS and SAS in rapid rehabilitation surgical intervention group were lower than those in conventional group,and the differences were statistically significant(P<0.05).Conclusion Rapid rehabilitation surgical intervention can shorten the hospitalization time of laryngeal cancer patients undergoing surgery,promote postoperative recovery of patients,improve the nutritional status and psychological status of patients,and reduce the incidence of complications.

关 键 词：喉癌 快速康复外科干预 手术 应用效果 

分 类 号：R739.65[医药卫生—肿瘤]