基于风险评估策略的手术室干预模式在食管癌手术中的应用效果  

Application effect of operating room intervention mode based on risk assessment strategy in esophageal cancer surgery

作　　者：阳香兰 袁荃 陈晓妹 YANG Xianglan;YUAN Quan;CHEN Xiaomei(Operating Room,the Third People's Hospital of Jiujiang,Jiujiang City,Jiangxi Province,332000,China)

机构地区：[1]江西省九江市第三人民医院手术室,江西九江332000

出　　处：《蛇志》2025年第1期97-101,共5页Journal of Snake

摘　　要：目的分析基于风险评估策略的手术室干预模式对食管癌手术患者术中及术后并发症、生活质量的影响。方法选取我院2023年1月至2024年5月收治的食管癌手术患者60例,采用随机数字表法分为观察组和对照组,每组30例。对照组采用常规手术室干预模式,观察组采用基于风险评估策略的手术室干预模式,比较两组患者术中和术后并发症、围术期指标,并采用癌症患者生命质量核心量表(QLQ-C30)评估患者术后生活质量。结果观察组患者术中、术后并发症发生率分别为6.67%、20.00%,均低于对照组的30.00%、50.00%,组间比较差异均有统计学意义(均P<0.05)。两组患者的手术时间比较,差异无统计学意义(P>0.05);观察组的胸腔引流时间、经口进食时间、术后住院时间均短于对照组,住院费用少于对照组,差异均有统计学意义(均P<0.05)。干预后,观察组的QLQ-C30各项评分均高于对照组,差异有统计学意义(均P<0.05)。结论基于风险评估策略的手术室干预模式能降低食管癌手术患者术中、术后并发症发生率,促进术后康复,缩短住院时间,减少住院费用,提高术后生活质量。Objective To analyze the effects of operating room intervention mode based on risk assessment strategy on intraoperative and postoperative complications and quality of life of patients undergoing esophageal cancer surgery.Methods A total of 60 patients with esophageal cancer treated in our hospital from January 2023 to May 2024 were selected and divided into observation group and control group by random number table method,with 30 cases in each group.The control group was subjected to the conventional operating room intervention mode,and the observation group was subjected to the operating room intervention mode based on risk assessment strategy.The intraoperative and postoperative complications and perioperative indexes were compared between the two groups,and the postoperative quality of life of patients was assessed by QLQ C30.Results The incidence of intraoperative and postoperative complications in observation group was 6.67%and 20.00%,respectively,lower than that in control group 30.00%and 50.00%,all with statistical significance(all P<0.05).There was no significant difference in operation time between the two groups(P>0.05).The thoracic drainage time,oral feeding time,postoperative hospitalization time and hospitalization cost in the observation group were all lower than those in the control group,with statistical significance(all P<0.05).After intervention,the QLQ C30 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The operation room intervention mode based on risk assessment strategy can reduce the incidence of intraoperative and postoperative complications,promote postoperative rehabilitation,shorten hospitalization time,reduce hospitalization costs and improve postoperative quality of life in patients with esophageal cancer surgery.

关 键 词：风险评估策略 手术室干预模式 食管癌手术 并发症 生活质量 

分 类 号：R735.1[医药卫生—肿瘤] R473.73[医药卫生—临床医学]