摘要
目的 分析快速康复外科护理理念用于甲状腺手术患者围术期护理中的价值。方法 选取2024年1月-2025年12月我院收治的甲状腺手术患者100例,按照不同护理方式分为两组,对比常规护理(对照组,n=50)与快速康复外科护理(观察组,n=50)的临床效果。结果 观察组术后进食、下床活动、住院时间以及视觉模拟评分法(VAS)评分均低于对照组(P<0.05);观察组术后C反应蛋白指标均低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论 甲状腺手术患者围术期开展快速康复外科护理,可以减轻术后疼痛和应激反应,降低并发症风险,促使患者术后更快恢复。
关键词: 快速康复外科护理;甲状腺手术;应激反应;并发症
Abstract
Objective To analyze the value of the rapid rehabilitation surgical nursing concept in the perioperative nursing of thyroid surgery patients. Methods 100 patients who underwent thyroid surgery in our hospital from January 2024 to December 2025 were selected and divided into two groups according to different nursing methods. The clinical effects of conventional nursing (control group, n=50) and rapid rehabilitation surgical nursing (observation group, n=50) were compared. Results The postoperative eating, getting out of bed activities, hospital stay, and Visual Analogue Scale (VAS) score of the observation group were all lower than those of the control group (P<0.05); the postoperative C-reactive protein indicators of the observation group were all lower than those of the control group (P<0.05); the complication rate of the observation group was lower than that of the control group (P<0.05). Conclusion Implementing rapid rehabilitation surgical nursing for patients during the perioperative period can alleviate postoperative pain and stress response, reduce the risk of complications, and enable patients to recover faster after surgery.
Key words: Rapid rehabilitation surgical nursing; Thyroid surgery; Stress response; Complication
参考文献 References
[1] 许盼盼,李芳芳,张淼.快速康复外科结合临床护理路径在日间甲状腺乳头状癌患者围术期中的应用分析[J].中国医药科学,2020,10(9):107-111.
[2] 陈美茜,高建红.快速康复外科理念护理对甲状腺手术患者术后疼痛及康复的影响[J].基层医学论坛,2024, 28(15):26-28,81.
[3] 陈芳,肖明霞.手术室整体护理结合快速康复外科理念对甲状腺手术患者的影响[J].深圳中西医结合杂志,2023, 33(15):121-124.
[4] 李秋蝉,郭巧玲,何静,等.快速康复外科护理理念在甲状腺肿物治疗围术期的效果[J].中国卫生标准管理,2023, 14(4):164-168.
[5] 付思佳,许洋,李勇.基于患者需求视角下的快速康复护理模式在老年甲状腺手术患者中的应用效果及对预后的影响[J].临床医学研究与实践,2022,7(28):156-159.
[6] 张小华,张炎霞.快速康复外科护理对腔镜甲状腺手术应激反应及血小板的临床分析[J].黑龙江中医药,2022, 51(2):298-300.
[7] 高闻,张莉萍,沈瑶.基于前馈控制的康复护理干预对甲状腺术后咽喉不适及患者满意度的影响[J].西部中医药, 2022,35(2):141-143.
[8] 张艳玲,石盼利,张扬.跨学科快速康复护理模式对甲状腺术后患者生活质量及心理状况的影响[J].齐齐哈尔医学院学报,2022,43(3):290-294.
[9] 袁婷.手术室整体护理结合快速康复外科理念对甲状腺手术患者焦虑及恢复效果的影响[J].黑龙江中医药,2020,49(2):219-220.
[10] 刘雪.快速康复理念护理对经口腔前庭腔镜甲状腺手术患者麻醉复苏期的效果研究[J].黑龙江医药科学,2020, 43(5):187-188+191.