加速康复外科理念在机器人辅助腹腔镜下根治性前列腺切除术患者围手术期的应用

Application of the concept of accelerated rehabilitation surgery in the perioperative period of robot-assisted laparoscopic radical prostatectomy

目的:探讨加速康复外科理念在机器人辅助腹腔镜下前列腺癌根治术患者围手术期的应用效果。方法:对我院2022年1月至2023年1月期间100例前列腺癌患者采用随机数字表法分为对照组和加速康复外科(ERAS)组,两组均采用机器人辅助腹腔镜下根治性前列腺切除术,对ERAS组采用加速康外科护理模式,对照组采用传统围手术期护理,对比分析两组患者手术相关指标、焦虑、抑郁评分、疼痛评分、术后并发症及护理满意度等情况。结果:100例患者手术顺利,ERAS组较对照组患者手术时间及术中出血量无统计学意义(P>0.05),术后住院时间缩短,肠道通气时间提前,差异均有统计学意义(P<0.05)。ERAS组焦虑、抑郁评分及疼痛评分均低于对照组,差异均有统计学意义(P<0.05),ERAS组术后并发症及护理满意度均优于对照组,差异均有统计学意义(P<0.05)。结论:ERAS理念与机器人辅助腹腔镜下根治性前列腺切除术具有的创伤小、稳定性强等优势相结合后可明显缩短住院时间,减少术后并发症,加速患者康复,提高护理满意度。

Objective:To explore the effect of the concept of accelerated rehabilitation surgery in the perioperative period of robot-assisted laparoscopic radical resection of prostate cancer.Methods:A total of 100 patients with prostate cancer in our hospital from January 2022 to January 2023 were divided into control group and enhanced recovery after surgery(ERAS)group by random number table Methods Robot-assisted laparoscopic radical prostatectomy was performed in both groups.ERAS group was treated with accelerated surgical nursing mode,while the control group was treated with traditional perioperative nursing.Operation-related indicators,anxiety,depression,pain,postoperative complications and nursing satisfaction of the two groups were compared.Results:100 patients were successfully operated.Compared with the control group,the operative time and intraoperative blood loss in ERAS group had no statistical significance(P>0.05),the postoperative hospitalization time was shortened and the intestinal ventilation time was advanced,with statistical significance(P<0.05).Anxiety,depression and pain scores in ERAS group were lower than those in control group,with statistical significance(P<0.05),while postoperative complications and nursing satisfaction in ERAS group were better than those in control group,with statistical significance(P<0.05).Conclusion:ERAS concept combined with robot-assisted laparoscopic radical prostatectomy has the advantages of less trauma and strong stability,which can significantly shorten the length of hospital stay,reduce postoperative complications,accelerate patient recovery and improve nursing satisfaction.