摘要
目的:探讨术中改良体位联合风险管理对机器人辅助下直肠癌根治术患者术后疼痛及并发症发生风险的影响。方法:选取2021年6月—2022年6月浙江大学医学院附属第一医院行常规护理的38例机器人辅助下直肠癌根治术患者作为研究对象,将其纳入对照组;另选取2022年7月—2023年7月于本院行术中改良体位联合风险管理的38例患者作为研究对象,将其纳入观察组。所有患者均护理14 d,比较两组手术相关指标、术后恢复指标、并发症发生率、不同时点疼痛水平。结果:观察组手术时间短于对照组,术中失血量少于对照组(P<0.05);观察组术后首次排气、排便、下床活动及住院时间短于对照组(P<0.05);观察组术后VAS评分低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论:术中改良体位联合风险管理能够有效缓解机器人辅助下直肠癌根治术患者的应激反应,减轻术后疼痛,降低术后并发症发生风险,促进术后康复。
Objective:To investigate the effect of intraoperative improved patient positioning combined with risk management on postoperative pain and complications in patients undergoing robot-assisted radical resection for rectal cancer.Methods:38 patients underwent robot-assisted radical resection for rectal cancer who received routine nursing care in the First Affiliated Hospital,Zhejiang University School of Medicine from June 2021 to June 2022 were included in the control group.Another 38 patients underwent the same surgery who received improved patient positioning combined with risk management from July 2022 to July 2023 were included in the observation group.All patients were treated for 14 days,and the surgical indicators,postoperative recovery indexes,complication rate,pain levels at different time points were compared between the two groups.Results:The operative time and intraoperative blood loss in the observation group were less than those in the control group(P<0.05).The first exhaust,defecation,ambulation after surgery and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The postoperative VAS scores of the observation group was lower than that of the control group(P<0.05).The incidence rate of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Intraoperative improved patient positioning combined with risk management could effectively alleviate the stress response of patients undergoing robot-assisted radical resection for rectal cancer,lower postoperative pain,reduce the risk of postoperative complications,and promote postoperative rehabilitation.
作者
吴琦
张琳
江涛
郭永萍
WU Qi;ZHANG Lin;JIANG Tao;GUO Yongping(Operating Room,the First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310003,China;Disinfection Supply Center,Nanjing Women and Children’s Healthcare Hospital,Nanjing 210029,China;Operating Room,the Affiliated Hospital of Southwest Medical University,Luzhou 646000,China;Operating Room,the People’s Hospital of Rongchang District of Chongqing City,Chongqing 402460,China)
基金
浙江省医药卫生科技计划项目(2022KY770)。
关键词
机器人辅助手术
直肠癌根治术
改良体位
风险管理
Robot-assisted Surgery
Radical Resection of Rectal Cancer
Improved Posture
Risk Management
