肺癌胸腔镜手术患者的多学科加速康复外科护理

Multidisciplinary enhanced recovery after surgery in video-assisted thoracoscopic surgery for lung cancer

目的探讨多学科加速康复外科在肺癌电视胸腔镜手术(VATS)围手术期患者管理中的应用效果。方法将行VATS下肺癌根治术的121例患者按时间段分为对照组59例,行常规围手术期护理;62例为观察组,采用多学科加速康复外科进行术前术中及术后护理干预。结果观察组患者术后1h、6h、12h及24h的VAS评分显著低于对照组(均P<0.01),术后肛门排气、下床活动、胸管留置及术后住院时间显著短于对照组(均P<0.01),未发生肺不张及静脉血栓栓塞。结论多学科加速康复护理干预可有效减轻肺癌VATS术后患者疼痛,防范术后并发症,加速患者康复。

Objective To explore the effects of multidisciplinary enhanced recovery after surgery（ERAS）in video-assisted thoracoscopic surgery（VATS）for lung cancer.Methods A total of 121 patients undergoing VATS for lung cancer were chronologically assigned into a control group of 59 and an intervention group of 62,receiving either conventional perioperative care or multidisciplinary ERAS intervention.Results Compared with the control group,the intervention group had lower VAS pain scores at 1 h,6 h,12 hand 24 hpostoperatively,recovered earlier bowel function and active out-of-bed mobilization,as well as experienced shorter chest tube indwelling time and postoperative hospital stay（P〈0.01 for all）.No patient developed atelectasis and thromboembolism.Conclusion Multidisciplinary ERAS intervention can effectively alleviate pain and prevent postoperative complications,which eventually boost recovery of lung cancer patients.