文章摘要
ERAS结合综合保温在妇科恶性肿瘤手术中的应用
Application of ERAS combined with integrated thermal insulation in gynaecological malignant tumour surgery
投稿时间:2024-06-07  修订日期:2024-07-02
DOI:
中文关键词: 妇科  恶性肿瘤  手术  围术期护理  ERAS  综合保温
英文关键词: gynaecology  malignant tumour  surgery  perioperative care  ERAS  integrated heat preservation
基金项目:
作者单位邮编
荣英凤* 项城市中医院 466231
董超霞 项城市中医院 
张玉红 项城市中医院 
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中文摘要:
      目的:探讨对实施妇科恶性肿瘤手术治疗的患者围术期应用加速康复外科理念(ERAS)结合综合保温干预的价值。方法:2021年6月至2024年2月,选择所在医院肿瘤科接诊的实施手术治疗的妇科恶性肿瘤患者150例开展研究,将围术期接受常规护理与保温干预的75例患者列为对照组,将接受ERAS理念结合综合保温干预的75例患者列为实验组。入室时、术前5min、术中30min、术毕即刻,对比两组体温;对比两组康复指标、术中与术后不良事件发生例数与护理满意度。结果:与对照组相比,实验组术中30min、术毕即刻的体温均更高(P<0.05);实验组术后麻醉复苏时间、置管时间、胃肠功能恢复时间、首次下地时间均更短(P<0.05);实验组在护理流程、护理内容、沟通态度、整体体验等维度的满意度评分更高(P<0.05);与对照组相比,实验组术中、术后不良事件发生率均更低(P<0.05)。结论:对实施妇科恶性肿瘤手术治疗的患者围术期应用ERAS理念结合综合保温干预,可预防患者术中体温异常波动,缩短其术后康复周期,降低术中与术后不良事件发生风险,从而获得较高的护理满意度。
英文摘要:
      Objective: to explore the value of perioperative application of accelerated rehabilitation surgical concept (ERAS) combined with integrated heat preservation intervention for patients undergoing surgical treatment of gynaecological malignant tumours. METHODS: From June 2021 to February 2024, 150 cases of gynecological malignant tumour patients undergoing surgical treatment received by the oncology department of the hospital where they were located were selected for the study, and 75 patients who received perioperative conventional care and thermal insulation interventions were listed as the control group, and 75 patients who received ERAS concept combined with comprehensive thermal insulation interventions were listed as the experimental group. At the time of admission, 5min before surgery, 30min during surgery, and immediately after surgery, the body temperatures of the two groups were compared; the recovery indexes, the number of cases of intraoperative and postoperative adverse events, and nursing satisfaction were compared between the two groups. RESULTS: Compared with the control group, the experimental group had higher body temperatures in the 30min intraoperative period and at the immediate end of surgery (P < 0.05); the experimental group had shorter postoperative anaesthesia resuscitation time, tube placement time, gastrointestinal function recovery time, and first time to get down to the ground (P < 0.05); the experimental group had higher satisfaction scores in the dimensions of nursing process, nursing care content, communication attitude, and overall experience (P < 0.05); and compared with the control group (12.00%). control group (12.00%, 13.33%), the incidence of intraoperative and postoperative adverse events (2.67%, 2.67%) were lower in the experimental group (P < 0.05). CONCLUSION: Perioperative application of ERAS concept combined with comprehensive thermal insulation intervention for patients undergoing surgical treatment of gynaecological malignant tumours can prevent abnormal fluctuation of intraoperative body temperature, shorten their postoperative recovery period, and reduce the risk of intra-operative and postoperative adverse events, thus obtaining a higher degree of nursing satisfaction.
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