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完全乳晕入路腔镜手术配合强化护理在甲状腺癌治疗中的应用观察 被引量:3

Efficacy of endoscopy surgery through an areola incision combined with strengthening nursing in the treatment of thyroid cancer
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摘要 目的探讨完全乳晕入路腔镜手术与强化护理配合在甲状腺癌治疗中的应用效果。方法选取2014年6月至2016年6月间山东省青岛市海慈医疗集团收治的116例甲状腺癌患者,采用随机数表法分为研究组与对照组,每组58例。两组患者均进行完全乳晕入路腔镜甲状腺手术,研究组患者在常规术中护理基础上行术中强化护理配合,对照组患者采取常规术中护理。观察两组患者手术情况及术后并发症发生率。结果研究组患者手术时间为(75.52±8.65)min、住院时间为(2.3±0.8)d,均低于对照组的(85.65±7.56)min和(3.5±1.2)d,差异均有统计学意义(均P〈0.05)。两组患者术中出血量和淋巴结清扫数比较,差异均无统计学意义(均P〉0.05)。研究组术后并发症发生率为6.9%,低于对照组的22.4%,差异有统计学意义(P〈0.05)。结论在完全乳晕入路腔镜甲状腺癌手术中辅以强化护理,可以有效缩短操作时间,加快术后恢复速度,降低并发症概率,适于临床推广。 Objective To discuss the efficacy of endoscopy surgery through an areola incision combined with strengthening nursing in the treatment of thyroid cancer. Methods From June 2014 to June2016,116 patients with thyroid cancer treated at Qingdao Haici Medical Group were selected. Using random number table,patients were divided into an observation group and a control group with 58 patients in each group. Both groups underwent endoscopy surgery through an areola incision. During the surgery,the observation group received strengthening nursing and the control group received routine nursing. Surgery and postoperative complications were observed for the two groups. Results The operation time and length of hospital stay was( 75. 52 ± 8. 65) min and( 2. 3 ± 0. 8) d,respectively in the observation group which was lower than( 85. 65 ± 7. 56) min and( 3. 5 ± 1. 2) d,respectively of the control group( all P〈0. 05). There was no statistically significant difference in intraoperative blood loss and the number of lymph node removed( all P〈0. 05). The incidence of postoperative complications was 6. 9% for the observation group which was lower than 22. 4% of the control group( P〈0. 05). Conclusion Endoscopy surgery through an areola incision combined with strengthening nursing can effectively shorten the operation time,speed up the recovery and reduce probability of complications,which is suitable for clinical promotion.
作者 刘志娴 孙琳 黄玉晓 LIU Zhi-xian, SUN Lin, HUANG Yu-xiao (Operating Room, Qingdao Haici Medical Group, Qingdao 266033 ,China)
出处 《中国肿瘤临床与康复》 2017年第10期1274-1276,共3页 Chinese Journal of Clinical Oncology and Rehabilitation
关键词 完全乳晕入路 腔镜手术 强化护理配合 甲状腺肿瘤 Areola incision approach Endoscopy surgery Strengthening nursing cooperation Thyroid neoplasms
作者简介 刘志娴,女,主管护师,主要从事手术护理专业。 通信作者:黄玉晓,Email:804322963@qq.com
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