论文部分内容阅读
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 investigate the effect of complete areola approach combined with intensive nursing in the treatment of thyroid cancer. Methods A total of 116 patients with thyroid cancer who were admitted to Qingdao Haici Medical Group from June 2014 to June 2016 were randomly divided into study group and control group with 58 cases in each group. Patients in both groups underwent complete areola approach for endoscopic thyroidectomy. Patients in the study group underwent intensive intraoperative nursing care based on routine intraoperative care while patients in the control group received routine intraoperative care. The operation and postoperative complications of the two groups were observed. Results The operation time of the study group was (75.52 ± 8.65) min and the hospitalization time was (2.3 ± 0.8) days, both of which were significantly lower than those of the control group (85.65 ± 7.56 min and 3.5 ± 1.2 d) (All P <0.05). There was no significant difference between the two groups in the amount of bleeding and the number of lymph node dissection (all P> 0.05). The incidence of postoperative complications was 6.9% in the study group, which was lower than 22.4% in the control group (P <0.05). Conclusions In the complete areola approach endoscopic thyroid cancer surgery combined with intensive care, can effectively shorten the operation time, speed up postoperative recovery, reduce the probability of complications, suitable for clinical promotion.