摘要
目的 分析4K腹腔镜结肠癌根治手术中开展基于加速康复外科(ERAS)理念的手术室整体护理的作用。方法 选择2019年9月—2020年9月医院收治的80例结肠癌患者为研究对象,按照组间基本特征具有可比性的原则将所有患者分为对照组和观察组,各40例。对照组患者采用常规护理,观察组患者给予基于ERAS理念的手术室护理。对比每组患者麻醉后30 min(T1)、麻醉后1 h(T2)、术后进入麻醉复苏室(T3)以及离开麻醉复苏室(T4)的体温情况;比较两组患者躁动、寒颤以及低体温发生率;比较两组患者气管导管拔除时间及麻醉复苏室停留时间以及术后不良反应发生率。结果 两组患者不同时间点体温比较,组间、不同时间点、组间与不同时间点交互差异均有统计学意义(P<0.05)。观察组患者躁动、寒颤以及低体温发生率与对照组比较差异无统计学意义(P>0.05)。观察组患者气管导管拔除及麻醉复苏室停留时间均短于对照组(P<0.05)。观察组患者术后不良反应发生率低于对照组(P<0.05)。结论 4K腹腔镜结肠癌根治手术中开展基于ERAS理念的手术室护理,可有效避免术中体温强烈波动,减少复苏时间,降低不良反应。
Objective To analyze the role of holistic nursing in operating room based on enhanced recovery after surgery(ERAS) concept in 4K laparoscopic radical surgery for colon cancer. Methods A total of 80 patients with colon cancer admitted to the hospital from September 2019 to September 2020 were selected as the study subjects. According to the principle of comparability of basic characteristics between groups, all patients were divided into control group and observation group, with 40 cases each group.The patients in the control group were given routine nursing, while the patients in the observation group were given operating room nursing based on ERAS concept. Compare the temperature of patients in each group at 30 min(T1), 1 h(T2) after anesthesia,entering the anesthesia resuscitation room(T3) and leaving the anesthesia resuscitation room(T4) after operation;The incidence of restlessness, chills and hypothermia were compared between the two groups;the extraction time of tracheal catheter, the stay time of anesthesia resuscitation room and the incidence of postoperative adverse reactions were compared between the two groups. Results There were statistically significant differences in temperature between the two groups at different time points, among groups, at different time points, between groups and at dif ferent time points(P<0.05). There was no signifi cant dif ference in the incidence of restlessness,chills and hypothermia between the observation group and the control group(P>0.05). The extraction time of tracheal catheter and the stay time of anesthesia resuscitation room in the observation group were shorter than those in the control group(P<0.05). The incidence of postoperative adverse reactions in the observation group was lower than that in the control group(P<0.05). Conclusion The operation room nursing based on ERAS concept in 4K laparoscopic radical surgery for colon cancer can ef fectively avoid the strong fl uctuation of body temperature during operation, reduce the recovery time and reduce adverse reactions.
作者
刘庆荣
贾晋莉
何小东
LIU Qingrong;JIA Jinli;HE Xiaodong(Union Shenzhen Hospital of Huazhong University of Science and Technology,Shenzhen,518000,China)
出处
《护理实践与研究》
2023年第4期613-616,共4页
Nursing Practice and Research
基金
深圳市南山区医疗卫生科技计划项目(编号:NS2021124)。
关键词
结肠癌根治术
腹腔镜
手术室整体护理
加速康复外科
不良反应
Radical surgery for colon cancer
Laparoscope
Holistic nursing in operating room
Enhanced recovery after surgery
Adverse reaction
