摘要
目的:从临床护理角度观察达芬奇机器人系统与腹腔镜行胃癌根治术后患者的恢复情况。方法:回顾性分析我科2020年1月至2020年11月150例行胃癌根治术患者,其中腹腔镜组和机器人组各75例,观察两组患者在术后疼痛评估、术后生活自理能力评定、术后日输液量、术后吸收热、术后肛门排气时间、进食流质饮食时间、术后肠外营养支持时间、术后计划内拔出鼻胃管时间及术后住院天数方面的情况。结果:与腹腔镜组相比,机器人组患者在术后第三天疼痛评估、术后第三天生活自理能力评定、术后第三、第五个24小时输液量、术后吸收热、首次肛门排气时间、首次进食流质饮食时间以及术后计划内拔出鼻胃管时间的差异有统计学意义(P 0.05)。结论:对比腹腔镜行胃癌根治术,机器人系统行胃癌根治术的患者创伤更小,恢复较快。
Objective: To observe the recovery of patients after radical gastrectomy with robotic versus laparoscopic surgery for gastric cancer from the angle of clinical nursing. Methods: A retrospective analysis was performed on 150 patients undergoing radical gastrectomy in our department from January 2020 to November 2020, including 75 patients in the laparoscopic group and 75 patients in the robotic group. Postoperative pain, postoperative self-care ability, postoperative daily infusion volume, postoperative heat absorption, postoperative anal exhaust time, intake of liquid diet, postoperative parenteral nutrition support time, postoperative nasogastric tube removal time and postoperative hospital stay were observed in 2 groups. Results: Compared with the laparoscopic group, there were statistically significant differences in pain and self-care ability on the third day after surgery, infusion volume on the third and fifth 24 hours after surgery, heat absorption after surgery, time for first anal exhaust, time for first liquid diet, and time for nasogastric tube removal within the postoperative plan in the robot group (P 0.05). Conclusion: Compared with laparoscopic radical gastrectomy, patients with robotic radical gastrectomy have less trauma and faster recovery.
出处
《临床医学进展》
2022年第1期1-5,共5页
Advances in Clinical Medicine
