机器人辅助腹腔镜下前列腺癌根治术中快速康复外科护理的临床价值

Clinical value of rapid rehabilitation surgical nursing in robot-assisted laparoscopic radical prostatectomy

目的探讨快速康复外科护理在机器人辅助下腹腔镜前列腺癌根治术(RALRP)中的临床价值。方法搜集2019年1月至2020年12月接受RALRP的60例患者为研究对象进行回顾性分析,按照不同的护理方案分为观察组与对照组,每组30例。观察组采用快速康复外科护理,对照组采用常规围术期护理;采用t检验比较两组手术时间、术中出血量、手术费用、术后拔管时间以及住院时间情况,采用χ^(2)检验比较两组不良反应发生率。结果观察组手术时间、术中出血量、手术费用、术后拔管时间以及住院时间均少于对照组,差异有统计学意义(t值分别为5.638、4.744、11.585、7.924、5.244,P值均<0.01);观察组术后并发症发生率为6.67%,明显低于对照组的26.67%,差异有统计学意义(χ^(2)=4.320,P <0.05)。结论 RALRP中应用快速康复外科护理较常规护理模式临床康复效果更显著,并发症更少,值得推广。

Objective To explore the clinical value of rapid rehabilitation surgical nursing in robotassisted laparoscopic radical prostatectomy(RALRP). Methods Sixty patients who underwent RALRP from January 2019 to December 2020 were collected for the study. These study subjects were retrospectively analyzed. These subjects were divided into observation group and control group according to different care protocols and 30 cases in each group. Rapid rehabilitation surgical care was used in the observation group, and conventional perioperative care was used in the control group. The t test was used to compare the operative time, intraoperative bleeding, operative cost, postoperative extubation time, and length of hospital stay between the two groups. χ^(2) test was used to compare the incidence of adverse reactions in the two groups. Results The operation time, intraoperative bleeding, operation cost, postoperative extubation time, and hospital stay in the observation group were less than those in the control group, with statistically significant differences(t=5.638, 4.744, 11.585, 7.924, 5.244;all P < 0.01);the incidence of postoperative complications was 6.67% in the observation group, which was significantly lower than that of 26.67% in the control group, and the difference was statistically significant(χ^(2)=4.320, P < 0.05). Conclusion The application of rapid rehabilitation surgical care in RALRP has more significant clinical rehabilitation effects and less complications than the conventional care model and is worth promoting.