摘要
目的:总结和分析经口腔前庭入路机器人ICG(注射用吲哚菁绿)下甲状腺癌手术围术期综合护理模式的临床效果。方法:回顾性总结陆军特色医学中心2021年7例经口腔前庭入路机器人ICG下甲状腺手术的护理干预效果。结果:7例患者运用综合护理模式,术前注意保护患者双眼、上嘴唇及面部区域皮肤,术中关注ICG的正确使用,患者术后面部皮肤完整,无压红等护理并发症发生,术后随访均满意。结论:术前对患者进行心理护理,术中进行精细化护理,结合创新性面部皮肤保护技巧等综合护理模式可有效缩短经口腔前庭入路机器人ICG下甲状腺手术的手术时间和术后住院时间,降低其术后并发症的发生率。
Objective:To summarize and analyze the comprehensive nursing mode in perioperative period of transoral robotic thyroidectomy vestibular approach with ICG for thyroid cancer.Methods:Retrospective analysis was made on the nursing intervention of 7 cases of transoral robotic thyroidectomy vestibular approach with ICG for thyroid cancer performed in Daping hospital in 2021.Results:7 cases of patients underwent transoral robotic thyroidectomy vestibular approach with ICG via vestibular approach for thyroid cancer were given the comprehensive nursing mode.Skin of both eyes,upper lip and facial area were protected before operation,and the correct use of ICG was paid attention during operation.The facial skin of 7 patients was intact after surgery,and there were no nursing complications such as pressure redness occurred.All patients were satisfied in follow-up.Conclusion:Psychological nursing before surgery and intraoperative fine care combined with innovative facial skin protection techniques could shorten the operation time and length of hospital stay of transoral robotic thyroidectomy vestibular approach with ICG for thyroid cancer,and reduce the incidence of postoperative complications.
作者
胥英杰
屈敏
徐琰
陈娴
XU Yingjie;QU Min;XU Yan;CHEN Xian(Operating Room,Department of Anesthesiology,Army Medical Center of PLA,Chongqing 400042,China)
基金
重庆市技术创新与应用发展专项面上项目(cstc2019jscx-msxmX0196)。
