加速康复外科理念在乳腺癌围术期的应用效果分析

Analysis of the Application Effect of Accelerated Rehabilitation Surgical Concept in Perioperative Breast Cancer

目的:分析加速康复外科(ERAS)理念在乳腺癌围术期的应用效果。方法:选取潮州市人民医院2018年4月—2023年3月收治的乳腺癌患者160例为研究对象,采用随机数字表法将其分为对照组和试验组,每组80例。对照组实施传统围术期管理,试验组实施ERAS围术期管理。比较两组手术相关指标、术后疼痛情况、炎性因子水平、术后并发症发生率。结果:试验组手术时间、胃肠功能恢复时间、离床活动时间、引流管留置时间、总引流量、住院时间以及治疗费用均低于对照组(P<0.05);术后,试验组视觉模拟评分法评分低于对照组(P<0.05);术后7 d,两组炎性因子水平高于术前,且试验组低于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05)。结论:ERAS理念用于乳腺癌围术期的效果显著,可改善手术指标,减轻疼痛程度,促进患者术后康复,降低并发症发生风险。

Objective:To analyze the application effect of accelerated rehabilitation surgery(ERAS)concept in the perioperative period of breast cancer.Methods:One hundred and sixty cases of breast cancer patients admitted to Chaozhou People's Hospital from April 2018 to March 2023 were selected as the study subjects,and they were divided into the control group and the experimental group by using the method of randomized numerical table,with eighty cases in each group.The control group implemented traditional perioperative management,and the experimental group implemented ERAS perioperative management.The two groups were compared in terms of surgery-related indexes,postoperative pain conditions,inflammatory factor levels,and postoperative complication rates.Results:The operation time,gastrointestinal function recovery time,time to leave the bed,drain retention time,total drainage volume,hospitalization time,and treatment cost of the experimental group were lower than those of the control group(P<0.05);the score of visual analog scoring method of the experimental group was lower than that of the control group in the postoperative period(P<0.05);inflammatory factor levels were higher than preoperative levels in both groups at 7 d postoperatively,and were lower in the experimental group than in the control group(P<0.05);the complication rate was lower in the experimental group than in the control group(P<0.05).Conclusion:The ERAS concept used in the perioperative period of breast cancer is effective,which can improve the surgical indexes,reduce the degree of pain,promote patients'postoperative rehabilitation,and reduce the risk of complications.