胸腹腔镜联合下食管癌手术护理配合的效果分析  

Effect Analysis of Nursing Cooperation in Esophageal Cancer Surgery Under Combined Thoracoabdominal Laparoscopic Surgery

作　　者：洪素千[1] 黄惠娟[1] 耿国军[2] 叶冠志 官莉贞 HONG Suqian;HUANG Huijuan;GENG Guojun;YE Guanzhi;GUAN Lizhen(Operating Room,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361000,China;Department of Thoracic Surgery,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361000,China)

机构地区：[1]厦门大学附属第一医院手术室,福建厦门361000 [2]厦门大学附属第一医院胸外科,福建厦门361000

出　　处：《中国卫生标准管理》2024年第21期190-194,共5页China Health Standard Management

基　　金：2020年福建省自然科学基金卫生行业联合资金新上项目(2020J011235);2022年福建省自然科学基金联合资金新上项目(2022J05301)。

摘　　要：目的探讨胸腹腔镜联合下食管癌手术的护理配合效果。方法回顾性收集2018年2月—2022年3月在厦门大学附属第一医院接受胸腹腔镜联合下食管癌手术的210例患者临床病历资料,所有患者均应用胸腹腔镜联合下食管癌手术治疗。依据护理方案分为对照组(n=125)与观察组(n=85)。对照组应用常规护理,观察组采用围手术期综合护理。对比2组患者的术中出血量、肺部感染发生率、术后住院天数和护理满意率。结果观察组患者术中出血量为(139.56±79.65)mL,低于对照组的(220.12±123.57)mL;肺部感染发生率为10.6%,低于对照组的28.0%;术后住院天数为(8.56±1.51)d,短于对照组的(15.81±2.67)d;护理满意率为94.1%,高于对照组的83.2%,差异均有统计学意义(P<0.05)。结论胸腹腔镜联合下食管癌手术联合围手术期综合护理具有显著手术治疗效果,并发症少。Objective To investigate the nursing effect of combined thoracoscopic laparoscopy and esophageal cancer surgery.Methods The clinical medical records of 210 patients who underwent thoracoscopic laparoscopy combined with esophageal cancer surgery in the First Affiliated Hospital of Xiamen University from February 2018 to March 2022 were retrospectively collected.According to the nursing plan,the patients were divided into control group(n=125)and observation group(n=85).The control group received routine care,while the observation group received comprehensive perioperative care.The intraoperative bleeding volume,incidence of pulmonary infection,postoperative hospital stay,and nursing satisfaction rate between two groups of patients were compared.Results The intraoperative bleeding volume of the observation group patients was(139.56±79.65)mL,which was lower than(220.12±123.57)mL of the control group,the incidence of pulmonary infection was 10.6%,which was lower than 28.0% of the control group,the postoperative hospital stay was(8.56±1.51)days,which was shorter than(15.81±2.67)days of the control group,the nursing satisfaction rate was 94.1%,which was higher than 83.2% of the control group,the differences were statistically significant(P<0.05).Conclusion Thoracic laparoscopy combined with esophageal cancer surgery combined with perioperative comprehensive nursing has a significant surgical effect with few complications;it is worthy of clinical application.

关 键 词：微创 食管癌手术 护理配合 常规护理 围手术期综合护理 胸腹腔镜联合手术 

分 类 号：R473[医药卫生—护理学]