基于快速康复外科理念的康复训练对甲状腺癌切除术后疼痛的影响  

Effect of rehabilitation training based on the concept of rapid rehabilitationsurgery on pain after thyroid cancer resection

作　　者：张倩[1] 孙颖 ZHANG Qian;SUN Ying(Department of Thyroid and Breast Surgery,Luoyang Central Hospital,Luoyang,Henan 471009,China)

机构地区：[1]洛阳市中心医院甲状腺乳腺外科,河南洛阳471009

出　　处：《现代医药卫生》2025年第3期721-724,共4页Journal of Modern Medicine & Health

摘　　要：目的 探讨基于快速康复外科理念的康复训练在行甲状腺癌切除术患者中的应用效果。方法 选取2023年1月至2024年1月该院收治的102例甲状腺癌患者采用随机数字表法分为对照组和观察组,各51例。对照组患者采取常规护理,观察组患者采用实施基于快速康复外科理念的康复训练,2组患者均持续护理观察3个月。比较2组患者术后疼痛数字评分法(NRS)、肩功能评定法(CMS)、抑郁-焦虑-压力量表(DASS)、并发症发生率及生活质量。结果 观察组患者术后7 d NRS评分低于对照组,差异有统计学意义(P<0.05)。观察组患者护理后CMS中肩关节活动范围、日常生活能力、肌力、疼痛程度等维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者DASS评分中压力、抑郁、焦虑等维度评分低于对照组,差异均有统计学意义(P<0.05)。观察组患者甲状腺危象、喉返神经损伤、低钙性抽搐等并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理后SF-36中各项维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论 基于快速康复外科理念的康复训练可减轻甲状腺癌切除术患者术后疼痛,有效促进患者颈肩功能恢复,改善其不良心理状态,还能降低并发症发生风险,进而提升患者的生活质量。Objective To investigate the effect of rehabilitation training based on the concept of rapid rehabilitation surgery in patients after thyroid cancer resection.Methods A tatol of 102 thyroid cancer patients admitted to our hospital from January 2023 to January 2024 were selected and divided into the control group and the observation group by random number table method,with 51 cases in each group.Patients in the control group received routine nursing,and patients in the observation group received rehabilitation training based on the concept of rapid rehabilitation surgery.Patients in both groups were continuously nursing and observed for 3 months.Postoperative pain numerical score(NRS),shoulder function assessment(CMS),depression-Anxiety-stress scale(DASS),complication rate and quality of life were compared between the two groups.Results The NRS score of the observation group was lower than that of the control group 7 days after operation,and the differences were statistically significant(P<0.05).After nursing,the CMS scores of shoulder joint range of motion,daily living ability,muscle strength and other dimensions in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of stress and depression in DASS the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The complications such as thyroid crisis and recurrent laryngeal nerve injury and hypocalcemia convulsion in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores in SF-36 of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The rehabilitation training based on the concept of rapid rehabilitation surgery can reduce the postoperative pain of patients with thyroid cancer resection,effectively promote the recovery of neck and shoulder func

关 键 词：甲状腺癌切除术 基于快速康复外科理念的康复训练 术后疼痛 颈肩功能恢复 

分 类 号：R736.1[医药卫生—肿瘤]