基于ERAS理念的手术室护...腹腔镜结肠癌根治术中的应用_刘庆荣.pdf

613Nursing Practice and Research,Feb.2023,Vol.20,No.4护理实践与研究 2023年2月第20卷第4期 手术室护理【摘要】目的分析 4K 腹腔镜结肠癌根治手术中开展基于加速康复外科（ERAS）理念的手术室整体护理的作用。方法选择 2019 年 9 月2020 年 9 月医院收治的 80 例结肠癌患者为研究对象，按照组间基本特征具有可比性的原则将所有患者分为对照组和观察组，各 40 例。对照组患者采用常规护理，观察组患者给予基于 ERAS 理念的手术室护理。对比每组患者麻醉后 30 min（T1）、麻醉后 1 h（T2）、术后进入麻醉复苏室（T3）以及离开麻醉复苏室（T4）的体温情况；比较两组患者躁动、寒颤以及低体温发生率；比较两组患者气管导管拔除时间及麻醉复苏室停留时间以及术后不良反应发生率。结果两组患者不同时间点体温比较，组间、不同时间点、组间与不同时间点交互差异均有统计学意义（P0.05）。观察组患者气管导管拔除及麻醉复苏室停留时间均短于对照组（P0.05）。观察组患者术后不良反应发生率低于对照组（P0.05）。结论4K 腹腔镜结肠癌根治手术中开展基于 ERAS 理念的手术室护理，可有效避免术中体温强烈波动，减少复苏时间，降低不良反应。【关键词】结肠癌根治术；腹腔镜；手术室整体护理；加速康复外科；不良反应中图分类号R473 文献标识码ADOI:10.3969/j.issn.1672-9676.2023.04.028基于 ERAS 理念的手术室护理在 4K 腹腔镜结肠癌根治术中的应用基金项目：深圳市南山区医疗卫生科技计划项目（编号:NS2021124）作者单位：518000广东省深圳市，华中科技大学协和深圳医院手术室刘庆荣贾晋莉何小东Application of operating room nursing based on ERAS concept in 4K laparoscopic radical resection of colon cancer LIU Qingrong,JIA Jinli,HE Xiaodong(Union Shenzhen Hospital of Huazhong University of Science and Technology,Shenzhen,518000,China)【Abstract】Objective To analyze the role of holistic nursing in operating room based on enhanced recovery after surgery(ERAS)concept in 4K laparoscopic radical surgery for colon cancer.Methods A total of 80 patients with colon cancer admitted to the hospital from September 2019 to September 2020 were selected as the study subjects.According to the principle of comparability of basic characteristics between groups,all patients were divided into control group and observation group,with 40 cases each group.The patients in the control group were given routine nursing,while the patients in the observation group were given operating room nursing based on ERAS concept.Compare the temperature of patients in each group at 30 min(T1),1 h(T2)after anesthesia,entering the anesthesia resuscitation room(T3)and leaving the anesthesia resuscitation room(T4)after operation;The incidence of restlessness,chills and hypothermia were compared between the two groups;the extraction time of tracheal catheter,the