加速康复外科在达芬奇机器人经口咽喉肿瘤切除术患者围手术期护理中的应用

目的探讨加速康复外科(ERAS)在达芬奇机器人经口微创切除口咽喉肿瘤患者围手术期护理中的应用效果。方法采用便利抽样法,选取首都医科大学附属北京安贞医院耳鼻咽喉头颈外科2016年6月—2018年12月进行经口微创达芬奇机器人切除手术的44例咽喉肿瘤患者为研究对象。按随机数字表法将患者分为试验组与对照组,每组各22例。对照组围手术期接受常规护理,试验组接受ERAS护理,比较两组患者术后恢复相关指标及VAS评分。结果试验组患者术后下床时间、拔除引流管时间、术后开始进食时间、拔除胃管时间、术后住院时间均短于对照组,差异有统计学意义(P<0.05)。对照组术后第1天VAS评分高于试验组,差异有统计学意义(P<0.05)。结论在达芬奇机器人经口咽喉肿瘤切除术患者围手术期实施ERAS护理,可促进患者术后康复。

Effects of enhanced recovery after surgery in perioperative nursing among pharyngolaryngeal neoplasm patients undergoing transoral robotic surgery with Da Vinci surgical system

Objective To explore the effects of enhanced recovery after surgery(ERAS)in perioperative nursing among pharyngolaryngeal neoplasm patients undergoing transoral robotic surgery with Da Vinci surgical system.Methods From June 2016 to December 2018,this study selected 44 pharyngolaryngeal neoplasm patients undergoing transoral robotic and minimally invasive surgery with Da Vinci surgical system in Otolaryngology Head and Neck Surgery of Beijing Anzhen Hospital affiliated to Capital Medical University as subjects by convenience sampling.All of patients were divided into experimental group and control group with the method of random table,22 cases in each group.Control group carried out routine nursing,while experimental group implemented ERAS nursing.This study compared the indexes of postoperative recovery and the score of Visual Analogue Scale(VAS)of patients between two groups.Results In experimental group,the time of getting out of bed,removing drainage tube,taking food,indwelling nasogastric tube and hospital stay after surgery was shorter than those in control group with statistical differences(P<0.05).The score of VAS of control group one day after surgery was higher than that in experimental group with a statistical difference(P<0.05).Conclusions ERAS for pharyngolaryngeal neoplasm patients undergoing transoral robotic surgery with Da Vinci surgical system can promote their postoperative rehabilitation.