| 荣英凤,董超霞,张玉红.ERAS结合综合保温在妇科恶性肿瘤手术中的应用[J].实用中西医结合临床,2025,25(6): |
| 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：2024-08-27 |
| 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 |
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| 中文摘要: |
| 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 选取2021年6月至2024年2月医院收治的150例实施手术治疗妇科恶性肿瘤患者作为研究对象，根据干预方式不同分为对照组与实验组，各75例。对照组围术期接受常规护理与保温干预，实验组围术期接受ERAS理念结合综合保温干预。对比两组不同时点体温、康复指标、术中与术后不良事件发生情况及护理满意度。结果 术中30 min、术毕即刻，实验组体温均高于对照组（P＜0.05）；实验组术后麻醉复苏、置管、胃肠功能恢复、首次下地时间均短于对照组（P＜0.05）；实验组护理满意度各维度评分均高于对照组（P＜0.05）；实验组术中、术后不良事件发生率均低于对照组（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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