摘要
目的探讨快速康复外科护理在甲状腺乳头状癌颈部淋巴结清扫术围手术期中的应用效果。方法选取2019年1月至2020年6月于无锡市人民医院行甲状腺乳头状癌颈部淋巴结清扫术的100例患者,采用抽签法将其随机分为对照组(n=50)和观察组(n=50)。对照组患者接受常规护理,观察组患者接受快速康复外科护理。比较2组患者的术中静脉输液量、术中出血量、手术时间、首次下床时间、住院时间、术后并发症发生率和生活质量评分。结果观察组的术中静脉输液量显著少于对照组(P<0.05)。观察组的术中出血量略少于对照组,手术时间略短于对照组,但差异均无统计学意义(P均>0.05)。观察组的首次下床时间显著早于对照组(P<0.05),住院时间显著短于对照组(P<0.05)。观察组的术后并发症发生率显著低于对照组(P<0.05)。术后5 d,2组的生活质量量表(EORTC QLQ-C30)各项评分均显著高于术前1 d(P均<0.05),观察组评分均显著高于对照组(P均<0.05)。结论行甲状腺乳头状癌颈部淋巴结清扫术的患者在围手术期中开展快速康复外科护理,可有效缩短其康复时间,提高其生活质量,降低并发症发生率。
Objective To explore the application effect of enhanced recovery after surgery on the perioperative nursing of neck dissection for papillary thyroid carcinoma.Methods A total of 100 patients with papillary thyroid carcinoma who underwent neck dissection at Wuxi People’s Hospital from January 2019 to June 2020 were selected and randomly divided into a control group(n=50)and an observation group(n=50)by drawing lots.The control group received routine nursing,and the observation group received nursing of enhanced recovery after surgery.The amount of intraoperative fluids and intraoperative blood loss,duration of operation,first time of getting out of bed,length of hospital stay,incidence of postoperative complications,and quality of life scores were compared between the two groups.Results The amount of intraoperative fluids of the observation group was significantly less than that of the control group(P<0.05).The amount of intraoperative blood loss of the observation group was less than that of the control group,and the duration of operation was shorter than that of the control group,but the differences were not statistically significant(both P>0.05).The first time of getting out of bed in the observation group was significantly earlier than that of the control group(P<0.05),and the length of hospital stay was significantly shorter than that of the control group(P<0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Five days after operation,the scores of various items of the European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30)in the two groups were significantly higher than those of 1 day before operation(all P<0.05),and the scores of the observation group were significantly higher than those of the control group(all P<0.05).Conclusion The application of enhanced recovery after surgery nursing during the perioperative period for patients with papillary thyroid carcinoma undergoing neck dissection can effectively shorten their recovery time,improve their quality of life,and reduce the incidence of complications.
作者
倪艳岚
董龙梅
NI Yanlan;DONG Longmei(Department of Thyroid and Breast Surgery,Wuxi Peoples Hospital,Wuxi,Jiangsu,214023,China)
出处
《中西医结合护理（中英文）》
2021年第5期5-8,共4页
Journal of Clinical Nursing in Practice
关键词
甲状腺乳头状癌
快速康复外科护理
围手术期护理
papillary thyroid carcinoma
enhanced recovery after surgery nursing
perioperative nursing
