Effects of enhanced recovery after surgery in perioperative nursing among pharyngolaryngeal neoplasm patients undergoing transoral robotic surgery with Da Vinci surgical system

中华现代护理杂志 Pub Date : 2020-03-26 DOI:10.3760/CMA.J.CN115682-20191230-04828

Xiaoxia Yu, Jingming Li, Xiaotong Liu, Fan Yang, L. Meng, Jianhong Wang

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Abstract

Objective To explore the effects of enhanced recovery after surgery (ERAS) in perioperative nursing among pharyngolaryngeal neoplasm patients undergoing transoral robotic surgery with Da Vinci surgical system. Methods From June 2016 to December 2018, this study selected 44 pharyngolaryngeal neoplasm patients undergoing transoral robotic and minimally invasive surgery with Da Vinci surgical system in Otolaryngology Head and Neck Surgery of Beijing Anzhen Hospital affiliated to Capital Medical University as subjects by convenience sampling. All of patients were divided into experimental group and control group with the method of random table, 22 cases in each group. Control group carried out routine nursing, while experimental group implemented ERAS nursing. This study compared the indexes of postoperative recovery and the score of Visual Analogue Scale (VAS) of patients between two groups. Results In experimental group, the time of getting out of bed, removing drainage tube, taking food, indwelling nasogastric tube and hospital stay after surgery was shorter than those in control group with statistical differences (P<0.05) . The score of VAS of control group one day after surgery was higher than that in experimental group with a statistical difference (P<0.05) . Conclusions ERAS for pharyngolaryngeal neoplasm patients undergoing transoral robotic surgery with Da Vinci surgical system can promote their postoperative rehabilitation. Key words: Perioperative period; Enhanced recovery after surgery; Da Vinci robot; Oropharyngeal neoplasms

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应用达芬奇手术系统进行经口机器人手术的咽肿瘤患者围手术期护理对术后恢复的影响

目的探讨用达手术系统对经口机器人手术的咽喉肿瘤患者进行术后强化恢复（ERAS）的围手术期护理效果。方法选择首都医科大学附属北京安贞医院耳鼻咽喉头颈外科经口机器人微创手术的44例咽喉肿瘤患者，采用方便抽样的方法进行研究。采用随机表法将患者分为实验组和对照组，每组22例。对照组实施常规护理，实验组实施ERAS护理。本研究比较了两组患者术后恢复指数和VAS评分。结果实验组起床时间、拔除引流管时间、进食时间、，鼻胃导管留置时间和术后住院时间均短于对照组，差异有统计学意义（P<0.05）。对照组术后1天VAS评分高于实验组，差异均有统计学意义（P>0.05）该系统可促进其术后康复。关键词：围手术期；术后恢复增强；达机器人；口咽肿瘤

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中华现代护理杂志

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