摘要
目的 比较结构化急救策略和传统经验性处理在甲状腺癌手术围术期突发状况中的应用效果。方法选择 2023年1月至2025年1月在金沙县人民医院接受甲状腺癌手术的60例患者作为回顾性研究对象。根据急救策略的不同分为对照组(采用传统经验性处理,30例),观察组(采取结构化急救策略,30例)。比较两组的急救效率、术中和术后并发症发生情况、手术相关指标、术后恢复情况以及血流动力学指标。结果 观察组患者急救事件发生后的响应时间、急救处理时间、手术时间、术中出血量、住院时间、康复时间均明显低于对照组(P<0.05)。观察组患者术中和术后并发症总发生率分别为6.67%和10.00%,明显低于对照组的26.67%和33.33%(P<0.05)。急救前,两组患者收缩压(SBP)、舒张压(DBP)、心率(HR)、平均动脉压(MAP)水平无明显差异(P>0.05)。急救后,两组患者以上血流动力学指标均明显改善;且观察组患者的SBP、DBP、HR、MAP水平均明显高于对照组(P<0.001)。结论 甲状腺癌手术围术期实施结构化急救策略可明显提升急救效率,降低术中出血量,减少术中和术后并发症的发生率,促进患者的康复,维持生理机能的稳定。
Objective To compare the eff ectiveness of structured emergency protocols versus traditional empirical management in handling perioperative emergencies during thyroid cancer surgery.Methods A retrospective study was conducted on 60 thyroid cancer patients who underwent surgery at Jinsha County People's Hospital from January 2023 to January 2025.Based on the type of emergency strategy employed,the patients were divided into the control group(traditional empirical management,30 cases)and the observation group(structured emergency protocol,30 cases).The two groups were compared in terms of emergency response efficiency,intraoperative and postoperative complications,surgical parameters,postoperative recovery,and hemodynamic indicators.Results The observation group had significantly shorter response times,emergency treatment durations,surgery times,intraoperative blood loss,hospital stays,and recovery times compared to the control group(P<0.05).The total incidence of intraoperative and postoperative complications in the observation group was 6.67%and 10.00%,respectively,which were significantly lower than the control group's 26.67%and 33.33%(P<0.05).Prior to emergency treatment,there were no significant diff erences between the two groups in terms of systolic blood pressure(SBP),diastolic blood pressure(DBP),heart rate(HR),and mean arterial pressure(MAP)(P>0.05).After emergency intervention,all hemodynamic indicators improved significantly in both groups,with the observation group showing significantly higher levels of SBP,DBP,HR,and MAP compared to the control group(P<0.001).Conclusion The implementation of a structured emergency protocol during the perioperative period of thyroid cancer surgery can significantly enhance emergency response efficiency,reduce intraoperative blood loss,decrease the incidence of complications,promote faster recovery,and maintain the stability of physiological functions.
作者
孙丹
霍金龙
SUN Dan;HUO Jinlong(Department of Thyroid and Breast Surgery,Jinsha County People's Hospital,Jinsha 551800,China;Department of Thyroid and Breast Surgery,Zunyi First People's Hospital,Zunyi 563000,China)
出处
《中华灾害救援医学》
2025年第5期546-550,共5页
Chinese Journal of Disaster Medicine
基金
合肥市科技计划项目(遵市科合HZ字[2022]450号)。
关键词
结构化急救策略
甲状腺癌
围手术期
Structured emergency protocol
Thyroid cancer
Perioperative period
