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目的总结电视胸腔镜(video-assisted thoracoscopic surgery,VATS)下早期肺癌根治术的护理要点,并观察其实施效果。方法选择2014年8月—2015年10月收治的VATS下早期肺癌根治术患者70例,随机分为对照组和观察组,各35例,对照组实施围手术期常规护理干预,观察组实施围手术期综合护理干预,记录两组相关手术指标及术后恢复指标,观察并发症发生情况。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果观察组手术时间、术中出血量、胸腔镜引流管拔管时间及住院时间分别为[(138.75±44.59)min、(197.64±48.02)m L、(49.10±7.03)h、(10.43±6.00)d]均优于对照组[(156.37±56.22)min、(264.11±53.27)m L、(64.55±9.81)h、(15.78±8.42)d],差异有统计学意义(均P<0.05);观察组并发症发生率(5.71%)低于对照组(25.71%),差异有统计学意义(P<0.05)。结论加强VATS下早期肺癌根治术围手术期护理干预能够缩短手术时间,减少术中出血量,降低并发症发生率,促进患者早日康复。
Objective To summarize the nursing points of early radical resection of lung cancer under video-assisted thoracoscopic surgery (VATS) and to observe its implementation effect. Methods Seventy patients with early radical resection of lung cancer under VATS from August 2014 to October 2015 were randomly divided into control group and observation group, 35 cases in each group. The control group received routine nursing intervention in perioperative period, During the operation, comprehensive nursing intervention was made, the two groups of related surgical indexes and postoperative recovery indexes were recorded, and the complication occurred. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The operation time, intraoperative blood loss, thoracoscopic drainage tube extubation time and hospital stay were (138.75 ± 44.59) min, (197.64 ± 48.02) m L, (49.10 ± 7.03) h, (10.43 ± 6.00) ) were significantly higher than those in the control group [(156.37 ± 56.22) min, (264.11 ± 53.27) m L, (64.55 ± 9.81) h, (15.78 ± 8.42) d] ; The complication rate in observation group (5.71%) was lower than that in control group (25.71%), the difference was statistically significant (P <0.05). Conclusion Enhancing the perioperative nursing intervention of early radical resection of lung cancer under VATS can shorten the operation time, reduce the intraoperative blood loss, reduce the incidence of complications and promote the early recovery of patients.