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加速康复外科理念在机器人辅助腹腔镜前列腺癌根治手术后护理中的应用

Application of enhanced recovery after surgery in postoperative nursing of robot-assisted laparoscopic radical prostatectomy

    摘要
  • 摘要:
    目的 观察加速康复外科理念(ERAS)在机器人辅助腹腔镜前列腺癌根治术患者术后护理中的应用效果。
    方法 选择行达芬奇机器人辅助腹腔镜前列腺癌根治术的患者80例为研究对象。根据术后护理方法不同分为对照组和观察组, 每组40例。对照组给予常规护理，观察组基于ERAS给予护理。观察并比较2组患者疗效及并发症发生情况。
    结果 2组患者术中出血量、手术时间及术后并发症总发生率比较，差异无统计学意义(P>0.05)。观察组患者术后首次下床时间、首次进水时间、肛门排气时间、引流管拔除时间及住院时间短于对照组，差异有统计学意义(P < 0.05)。
    结论 ERAS应用于机器人辅助腹腔镜前列腺癌根治术的术后护理高效且安全。

     

    Abstract:
    Objective To observe the effect of enhanced recovery after surgery (ERAS) in postoperative nursing after robot-assisted laparoscopic radical prostatectomy.
    Methods Eighty patients who underwent Da Vinci robot-assisted laparoscopic radical prostatectomy were selected as the study objects. According to postoperative differed nursing methods, the patients were divided into control group and observation group, with 40 cases in each group. The control group was given routine nursing, and the observation group was given nursing based on ERAS. The efficacy and occurrence of complications of the two groups were observed and compared.
    Results There was no significant difference in the amount of intraoperative blood loss, operation time and total incidence of postoperative complications between two groups (P>0.05). The first time of getting out of bed, the first time of water intake, the time of anal exhaust, the time of drainage tube removal and the time of hospitalization in the observation group were significantly shorter than those in the control group (P < 0.05).
    Conclusion ERAS is effective and safe in the postoperative care of robot-assisted laparoscopic radical prostatectomy.

     

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