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中国癌症防治杂志 ›› 2021, Vol. 13 ›› Issue (5): 543-547.doi: 10.3969/j.issn.1674-5671.2021.05.17

• 临床研究 • 上一篇    下一篇

综合保温措施对达芬奇机器人辅助食管癌手术患者快速康复的影响

  

  1. 上海市胸科医院,上海交通大学附属胸科医院手术室
  • 出版日期:2021-10-25 发布日期:2021-11-17
  • 通讯作者: 戴莉 E-mail:dladw@hotmail.com

 Effect of comprehensive insulation measures on rapid recovery of patients with Da Vinci robot-assisted radical esophageal cancer surgery

  • Online:2021-10-25 Published:2021-11-17

摘要: 目的 探讨综合保温措施对达芬奇机器人辅助食管癌根治术患者术中、术后体温及术后恢复的影响。方法 选择2019年7月至2020年2月在上海市胸科医院接受达芬奇机器人辅助食管癌根治术的60例患者为研究对象,随机分为综合保温组(n=30)和常规保温组(n=30)。比较两组患者术中体温、术后麻醉苏醒时间、麻醉拔管时间、术后住院天数及术后并发症的发生情况。结果 综合保温组患者手术开始1 h、2 h及手术结束时的体温均高于常规保温组[t1:(36.1±0.4) ℃ vs (36.7±0.3) ℃;t2:(35.6±0.4) ℃ vs (36.9±0.4) ℃;t3:(35.6±0.3) ℃ vs (37.1±0.3) ℃];但麻醉苏醒时间以及麻醉拔管时间较常规保温组短[(82.0±20.1) min vs (71.0±12.9) min;(49.9±17.5) min vs (41.2±9.2) min],差异均有统计学意义 (均P<0.05)。结论 综合保温措施有助于降低达芬奇机器人辅助食管癌手术患者的低体温发生率,缩短苏醒时间,加速术后恢复,在患者快速康复外科治疗中发挥了积极作用。

关键词: 食管癌, 综合保温, 快速康复, 达芬奇机器人

Abstract: Objective To investigate the effect of comprehensive insulation measures on the intraoperative/postoperative body temperature and postoperative recovery of patients. Methods A total of 60 patients who underwent Da Vinci robot-assisted radical resection of esophageal cancer in Shanghai Chest Hospital from July 2019 to February 2020 were selected as the research objects, and were randomly divided into the comprehensive insulation group (n=30) and the conventional insulation group (n=30). The two groups were compared based on the intraoperative body temperature, postoperative anesthesia recovery time, anesthesia extubation time, postoperative hospital stay and postoperative complications. Results The body temperature of the patients in the comprehensive insulation group was higher than that of the conventional insulation group at 1 h, 2 h and the end of surgery [t1: (36.1±0.4) ℃ vs (36.7±0.3) ℃, t2: (35.6±0.4) ℃ vs (36.9±0.4) ℃, t3: (35.6±0.3) ℃ vs (37.1±0.3) ℃]. The anesthesia recovery time and anesthesia extubation time in the comprehensive insulation group were shorter than the conventional insulation group[(82.0±20.1) min vs (71.0±12.9) min; (49.9±17.5) min vs (41.2±9.2) min], and the differences were statistically significant (all P<0.05). Conclusions Comprehensive insulation measures can reduce the incidence of hypothermia in patients with Da Vinci robot-assisted radical esophageal cancer surgery, shorten the recovery time, accelerate postoperative recovery, and play an active role in rapid rehabilitation and surgical treatment of esophageal cancer patients.

Key words: Esophageal cancer, Comprehensive insulation, Rapid recovery, Da Vinci robot

中图分类号: 

  • R735.1