快速康复外科理念干预在原发性支气管肺癌手术患者中的应用价值

Application Value of Enhanced Recovery After Surgery Concept Intervention in Patients with Primary Bronchial Lung Cancer Surgery

目的:分析快速康复外科(ERAS)理念干预在原发性支气管肺癌手术患者中的应用价值。方法:选取2020年4-10月笔者所在医院收治的择期行手术治疗的80例原发性支气管肺癌患者为研究对象。根据抽签法将其随机分为ERAS组(n=40)和对照组(n=40)。对照组采用常规干预,ERAS组在对照组基础上给予ERAS理念干预。比较两组术后恢复情况、术后疼痛情况、干预前后心理状态、护理满意度及并发症发生情况。结果:ERAS组术后排气时间、术后下床活动时间、胸管放置时间、住院时间均明显优于对照组,差异有统计学意义(P<0.05)。两组术后即刻VAS评分比较差异无统计学意义(P>0.05);但ERAS组术后12、24、48 h VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。干预前,两组SAS、SDS评分比较差异无统计学意义(P>0.05);干预后,两组SAS、SDS评分均较干预前明显降低,且ERAS组SAS、SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。ERAS组护理满意度评分明显高于对照组,且并发症发生率明显低于对照组,差异均有统计学意义(P<0.05)。结论:与常规干预对比,ERAS理念干预对原发性支气管肺癌手术患者康复的有效性较高,可明显促进患者术后康复,缓解患者负性心理状态及术后疼痛,降低并发症发生率,提高护理满意度,临床应用价值较高。

Objective:To analyze the application value of enhanced recovery after surgery(ERAS)concept intervention in patients with primary bronchial lung cancer surgery.Method:From April to October 2020,80 patients with primary bronchial lung cancer who admitted in our hospital and undergoing elective surgical treatment were selected as the research objects.According to the lottery method,they were randomly divided into the ERAS group(n=40)and the control group(n=40).The control group received routine intervention,and the ERAS group received ERAS concept intervention on the basis of the control group.The postoperative recovery,postoperative pain,psychological status before and after intervention,nursing satisfaction and complications were compared between the two groups.Result:The postoperative exhaust time,postoperative get out of bed activity time,chest tube placement time and hospital stay time in the ERAS group were significantly better than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in VAS scores between the two groups immediately after surgery(P>0.05).However,the VAS scores at 12,24,and 48 h after surgery of the ERAS group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in SAS and SDS scores between the two groups(P>0.05).After intervention,the SAS and SDS scores of the two groups were significantly lower than those before intervention,and the SAS and SDS scores of the ERAS group were significantly lower than those of the control group,the differences were statistically significant(P<0.05).The nursing satisfaction score of the ERAS group was significantly higher than that of the control group,and the incidence of complications was significantly lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Compared with routine intervention,ERAS concept intervention is more effective in the rehabilitation of patients with primary bronchial lung cancer surgery.It can significantly promote postoperative rehabilitation of patients,relieve patients’negative psychological status and postoperative pain,reduce the incidence of complications,and improve nursing satisfaction,and has high clinical application value.