目的:观察基于强化中医护理的临床护理路径管理在胃癌根治术患者管理中的应用效果,旨在提高胃癌根治术患者的护理效果。方法:选择绍兴市中医院肿瘤科2014年8月-2016年4月行胃癌切除术的患者95例,按入院顺序分为观察组50例与对照组45例,对照组患者实施传统模式的临床护理路径管理,观察组在对照组管理的基础上加入强化中医护理,对比两组患者术后首次如厕、首次下床、拔除胃管、住院时间,及患者焦虑与抑郁状态。结果:观察组患者术后首次如厕、首次下床、拔除胃管、住院时间均较对照组缩短(P<0.05),且两组管理后焦虑及抑郁状态评分均较管理前降低(P<0.05),管理后观察组焦虑及抑郁状态评分均较对照组降低(P<0.05)。结论:基于强化中医护理的临床护理路径管理可明显缩短胃癌根治术患者首次如厕、首次下床、拔除胃管及住院时间,改善患者焦虑及抑郁状态,值得临床推广。 Objective: To observe the effect of clinical nursing pathway management based on intensive TCM nursing in the management of gastric cancer patients undergoing radical operation, and to improve the nursing effect of patients undergoing radical operation of gastric cancer. Methods: Ninety-five patients undergoing resection of gastric cancer from August 2014 to April 2016 were divided into observation group (50 cases) and control group (45 cases). Patients in the control group underwent traditional mode of clinical treatment Nursing path management, the observation group in the control group based on the strengthening of traditional Chinese medicine care, compared two groups of patients for the first time toilet, first bed, gastric tube removal, hospital stay, and patients with anxiety and depression status. Results: The first time after operation, the patients in the observation group went to the toilet for the first time, got out of bed for the first time, and removed the gastric tube. The hospitalization time was shorter than that of the control group (P <0.05), and the post-management anxiety and depression scores of both groups were lower than those before the management (P < 0.05). After the management, anxiety and depression scores in the observation group were lower than those in the control group (P <0.05). Conclusion: The clinical nursing pathway management based on intensive TCM nursing can shorten the time of first-aid, first out-of-bed, gastric tube removal and hospital stay in patients with radical gastrectomy, and improve anxiety and depression in patients with gastric cancer. It is worthy of clinical promotion.