摘要
目的探讨个性化术前访视对达芬奇机器人肺叶切除术患者临床效果的影响。方法将我院2014年6~12月收治的60例胸外科肺叶切除术患者按照就诊顺序采用奇偶数分为观察组和对照组,男34例、女26例,年龄29~78(58.4±12.4)岁。观察组采用个化术前访视路径,对照组采用常规术前访视路径,比较两组患者康复效果。结果与对照组比较,观察组术后胸腔引流管时间更短[(6.17±1.34)d vs.(7.13±1.17)d,P=0.004]、术后疼痛评分更低[(0.87±0.73)分vs.(2.60±0.81)分,P=0.000]、住院时间更短[(7.13±1.17)d vs.(8.37±1.92)d,P=0.004],且差异有统计学意义。观察组患者康复满意度比对照组更高,且差异有统计学意义(P<0.05)。结论个性化术前访视解除了患者对机器人手术效果的顾虑,有效减轻了患者心理压力,增强了患者战胜疾病的信心,使患者能积极主动配合并顺利完成手术,促进术后康复。
Objective To explore the application effect of the individualized preoperative visit to the da Vinci Robotic lobectomy patients.Method Sixty lobectomy patients with 34 males and 26 females at age of 29 to 78(58.4±12.4)years were divided into two groups according to the order of their medical treatment in our hospital between June 2014 and December 2014.In the control group we used conventional reoperative visit method,while in the observation group we used individualized preoperative visit method.And the rehabilitation effects of the two groups were compared.Results Postoperative drainage tube time(6.17±1.34 d vs.7.13±1.17 d,P=0.004) and length of hospital stay(7.13±1.17 d vs.8.37±1.92 d,P=0.004) were significantly shorter in the observation group than those in the control group.Postoperative pain score was significantly lower in the observation group than that in the control group(0.87±0.73 points vs.2.60±0.81 points,P=0.000).Also in the observation group the patients had a higher degree of satisfaction with a statistical difference(P<0.05).Conclusion Individualized preoperative visit relieves patients' concern of the effect of the robotic operation,effectively reduces the psychological pressure of patients,strengthens the confidence of patients to overcome the disease,so that patients can actively cooperate with the operation,which promote postoperative rehabilitation.
出处
《中国胸心血管外科临床杂志》
CAS
CSCD
2015年第10期936-939,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
关键词
个性化
术前访视
机器人肺叶切除术
术后康复
Individualization
Preoperative visit
Robotic lobectomy operation
Postoperative rehabilitation
