Observation of nursing effect about patients' accelerated rehabilitation surgery after thoracoscopic esophageal carcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 DENG Yanhua , LI Qin , LI Jinman , FAN Qiao , 刘涌 , JIHui

Department of Urology and Thoracic surgery, Integrated Traditional Chinese and Western Medicine Hospital, Panzhihua, 617000, Sichuan, P.R.China;

Corresponding author：

DENG Yanhua, Email: 469196294QQ.com

Keywords：

食管癌; 胸腔镜手术; 加速康复外科; 效果观察

DOI：

10.7507/1007-4848.201903012

Video：

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Objective To explore Nursing Effect about patients' Accelerated Rehabilitation Surgery after Thoracoscopic Esophageal CarcinomaMethods Continuous collection of 90 patients with thoracoscopic esophageal cancer from March 2017 to 2018 in this hospital, of which 45 patients in the control group were given routine care, and 45 patients in the experimental group were given individualized care. Analysis of nursing satisfaction and gastrointestinal function in two groups.Results The satisfaction and gastrointestinal function of the two groups of patients were analyzed.. The average bowel sound recovery time and anal exhaust time were significantly shorter in the experimental group(31.25 ± 2.25 H, 50.12 ± 1.47 H) than in the control group(45.26 ± 2.17 H, 67.36 ± 1.06 H)(P = 0.028, P = 0.030). The incidence of adverse reactions was significantly lower in the experimental group(4.44 %) than in the control group(17.77 %)(P = 0.012), Nursing satisfaction was significantly higher in the experimental group(97.78 %) than in the control group(80%)(P = 0.007), Average hospitalization days and hospitalization costs in the experimental group(12.5±2.8d,9823±720¥),They were all significantly shorter than the control group16.3±3.4d,1378±790¥)(P =0.023, P =0.036）.Conclusion The accelerated rehabilitation surgical care of patients with thoracoscopic esophageal cancer during perioperative period can help patients to accelerate recovery by promoting the recovery of gastrointestinal energy.

1.	郭聪颖, 盖玉杰, 林丽, 等. 护理配合对胸腔镜联合腹腔镜行食管癌根治术患者疗效实验. 检验医学与临床, 2015, 5(3): 405-407.
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3.	Jiang C, Li S, Li Y, et al. Anticancer effects of dihydroartemisinin on human esophageal cancer cells in vivo. Analytical Cellular Pathology, 2018, 4(6): 1-7.
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5.	余丽辉, 蔡潇洁, 杨育兵, 等. 胸腹腔镜联合微创食管癌根治术的护理配合. 中国微创外科杂志, 2015, 18(4): 46-47.
6.	王俏丽. 全胸腔镜联合腹腔镜食管癌根治术的手术护理配合. 江苏医药, 2014, 40(2): 244-245.
7.	Egeland C, Baeksgaard L, Johannesen H H, et al. Endoscopic electrochemotherapy for esophageal cancer: a phase I clinical study. Endoscopy International Open, 2018, 6(6): E727-E734.
8.	朱希燕, 张海燕, 袁彩欣, 等. 围手术期个体化护理对老年食管癌患者术后心理状态的影响. 河北医药, 2014, 4(23): 3666-3667.
9.	韩芳, 李鹂, 刘丽, 等. 胸腔镜食管癌根治术的手术室护理配合要点分析. 世界中医药, 2016, 08(b03): 856-856.
10.	Arnold B N, Chiu A S, Hoag J R, et al. Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database. J Thorac Dis, 2018, 10(3): 1721.
11.	袁清萍, 张杨, 陈晶. 电视胸腔镜下三切口食管癌根治术手术及护理. 中国肿瘤临床与康复, 2014, 9(9): 1134-1136.
12.	邹晓影. 胸腔镜下小切口食管癌根治术的围术期护理体会. 中华肿瘤防治杂志, 2016, 7(2): 336-337.
13.	张乐, 姜宁, 陈丹, 等. 个体化化护理对胸腹腔镜联合食管癌切除术患者的感染率改善作用. 结直肠肛门外科, 2017, 5(s1): 45-50.
14.	余航. 个体化护理在儿童手术护理中的应用价值探讨. 四川医学, 2013, 34(8): 1270-1272.
15.	范海燕, 康宜琴. 18例胸腔镜下食管癌根治术的手术配合护理体会. 世界中医药, 2017, 9(1): 183.
16.	余航. 个体化护理在儿童手术护理中的应用价值探讨. 四川医学, 2013, 34(8): 1270-1272.
17.	刘微, 关丹丹. 食管癌患者胸腔镜术后引流管护理的应用. 中国肿瘤临床与康复, 2017, 7(11): 1377-1379.

1. 郭聪颖, 盖玉杰, 林丽, 等. 护理配合对胸腔镜联合腹腔镜行食管癌根治术患者疗效实验. 检验医学与临床, 2015, 5(3): 405-407.
2. 季建芳. 心理护理干预对食管癌根治术后患者生存质量的影响. 现代医, 2013, 6(6): 418-419.
3. Jiang C, Li S, Li Y, et al. Anticancer effects of dihydroartemisinin on human esophageal cancer cells in vivo. Analytical Cellular Pathology, 2018, 4(6): 1-7.
4. 高健, 杜彦玲, 王巨, 等. 应用电视胸腔镜进行三切口食管癌根治术的手术配合及护理体会. 现代生物医学进展, 2013, 13(36): 7108-7111.
5. 余丽辉, 蔡潇洁, 杨育兵, 等. 胸腹腔镜联合微创食管癌根治术的护理配合. 中国微创外科杂志, 2015, 18(4): 46-47.
6. 王俏丽. 全胸腔镜联合腹腔镜食管癌根治术的手术护理配合. 江苏医药, 2014, 40(2): 244-245.
7. Egeland C, Baeksgaard L, Johannesen H H, et al. Endoscopic electrochemotherapy for esophageal cancer: a phase I clinical study. Endoscopy International Open, 2018, 6(6): E727-E734.
8. 朱希燕, 张海燕, 袁彩欣, 等. 围手术期个体化护理对老年食管癌患者术后心理状态的影响. 河北医药, 2014, 4(23): 3666-3667.
9. 韩芳, 李鹂, 刘丽, 等. 胸腔镜食管癌根治术的手术室护理配合要点分析. 世界中医药, 2016, 08(b03): 856-856.
10. Arnold B N, Chiu A S, Hoag J R, et al. Spontaneous regionalization of esophageal cancer surgery: an analysis of the National Cancer Database. J Thorac Dis, 2018, 10(3): 1721.
11. 袁清萍, 张杨, 陈晶. 电视胸腔镜下三切口食管癌根治术手术及护理. 中国肿瘤临床与康复, 2014, 9(9): 1134-1136.
12. 邹晓影. 胸腔镜下小切口食管癌根治术的围术期护理体会. 中华肿瘤防治杂志, 2016, 7(2): 336-337.
13. 张乐, 姜宁, 陈丹, 等. 个体化化护理对胸腹腔镜联合食管癌切除术患者的感染率改善作用. 结直肠肛门外科, 2017, 5(s1): 45-50.
14. 余航. 个体化护理在儿童手术护理中的应用价值探讨. 四川医学, 2013, 34(8): 1270-1272.
15. 范海燕, 康宜琴. 18例胸腔镜下食管癌根治术的手术配合护理体会. 世界中医药, 2017, 9(1): 183.
16. 余航. 个体化护理在儿童手术护理中的应用价值探讨. 四川医学, 2013, 34(8): 1270-1272.
17. 刘微, 关丹丹. 食管癌患者胸腔镜术后引流管护理的应用. 中国肿瘤临床与康复, 2017, 7(11): 1377-1379.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

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