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目的探讨术后综合干预在达芬奇机器人手术系统行纵隔肿瘤切除术患者预后上的优势。方法选取2013年10月至2015年2月沈阳军区总医院行达芬奇机器人手术系统纵隔肿瘤切除术94例,随机分为干预组和对照组,每组各47例。对照组按胸外科一般常规予围手术期治疗与护理,干预组在此基础上实施针对此手术制定的综合术后干预策略。分析比较两组患者临床效果指标及生活质量。结果干预组和对照组术后监护时间[(27.83±6.64)d vs.(55.85±14.97)d,P=0.000]、术后留置引流管时间[2(0~6)d vs.5(0~9)d,P=0.000]、术后.疼痛评分(0 89±0.70 vs.2.83±0.92,P=0.000)、术后住院时间[(4.85±1.49)d vs.(8.11±1.94)d,P=0.000]、SAS评分(48.43±3.82 vs.57.66±3.42,P=0.000)、生活质量评分(38.06±3.24 vs.31.83±2.44 p=0.000)差异均有统计学意义。结论术后综合干预加速了达芬奇机器人手术系统行纵隔肿瘤切除术术后患者的康复提高了患者的生活质量。
Objective To investigate the advantages of postoperative comprehensive intervention in the prognosis of patients undergoing mediastinal tumor resection in the Da Vinci robotic surgery system. Methods From October 2013 to February 2015, 94 patients underwent Da Vinci robotic surgical system mediastinal tumor resection in Shenyang General Hospital of PLA were randomly divided into intervention group and control group, with 47 cases in each group. The control group was treated by perioperative management and nursing according to the conventional thoracic surgery. The intervention group implemented the comprehensive postoperative intervention strategy for this operation. Analysis and comparison of clinical effect indicators and quality of life in two groups of patients. Results The postoperative monitoring time in intervention group and control group [(27.83 ± 6.64) d vs. (55.85 ± 14.97) d, P = 0.000], postoperative indwelling drainage time [2 Postoperative pain score (0 89 ± 0.70 vs 2.83 ± 0.92, P = 0.000), postoperative hospital stay [(4.85 ± 1.49) d vs. (8.11 ± 1.94) d, P = 0.000] , P = 0.000], SAS score (48.43 ± 3.82 vs.57.66 ± 3.42, P = 0.000), quality of life score (38.06 ± 3.24 vs.31.83 ± 2.44 p = 0.000). Conclusion The postoperative comprehensive intervention accelerated the recovery of patients after mediastinal tumor resection in DaVinci robotic surgery system and improved the quality of life of patients.