应用达芬奇机器人行胃癌术后病人活动量与胃肠道功能恢复的相关性研究

Correlation research between postoperative activity amount and gastrointestinal function recovery in patients with gastric cancer by Leonardo Da Vinci surgical robot

[目的]探讨达芬奇机器人进行胃癌病人术后的活动量与胃肠道功能恢复的相关性,旨在提出术后24h内活动的量化指导方案,为临床护理工作提供指导。[方法]回顾性地分析达芬奇机器人进行胃癌根治手术的病人99例,在围术期均采用加速康复外科的理念,并使用无线智能手环监测术后24h内的活动量,将活动步数小于100步的病人纳入A组,100步-200步的病人纳入B组,大于200步的纳入C组,观察术后首次肛门排气时间。[结果]3组病人术后首次肛门排气时间分别为（38.63±8.80）h、（31.12±2.92）h、（20.41±2.83）h,C组病人术后首次肛门排气时间短于A组及B组,差异有统计学意义（P〈0.01）;3组病人术后活动量与首次肛门排气时间呈负相关。[结论]达芬奇机器人进行胃癌根治术病人术后的活动量与胃肠道功能恢复相关,活动量增加,术后首次肛门排气时间缩短。

Objective：To probe into the correlation between postoperative activity amount and gastrointestinal function recovery in patients with gastric cancer by using Leonardo Da Vinci surgical robot,in order to provide a quantitative guidance for postoperative activities within 24 h,and to provide guidance for clinical nursing work.Methods：It retrospectively analyzed 99 patients with gastric carcinoma radical resection by Leonardo Da Vinci surgical robot,using the concept of fast track ERAS in perioperative period,and using wireless intelligent bracelet to monitor activity amount within 24 hpostoperatively.Patients were with activity less than 100 steps were included into group A,patients with 100 steps to 200 steps into group B,and patients with more than 200 steps into group C,then to observe the to first postoperative anal exhaust time.Results：The first postoperative of 3groups was（38.63±8.80）h,（31.12±2.92）h,and（20.41±2.83）h,respectively,in which the time of group C and exhaust time was shorter than that in the other two groups,and the differences were statistically significant;the postoperative activity amount was negatively correlated with the first postopertive anal exhaust time（P〈0.01）.Conclusions：The postoperative activity amount was related to the postoperative gastrointestinal function recovery of patients with gastric cancer by using Leonardo Da Vinci surgical robot：the activity amount increased,the first postoperative anal exhaust time flatus reduced.