洪舟 余立

【摘要】 目的：探究无充气经腋窝入路腔镜下甲状腺癌根治术的护理效果。方法：选取笔者所在医院2019年1-12月收治的行无充气经腋窝入路腔镜下甲状腺癌根治术患者94例，随机将其分为对照组及观察组，各47例。对照组围手术期采用常规护理，观察组采用快速康复理念护理。比较两组患者术前住院时间、总住院时间、住院费用及生活质量变化。结果：观察组术前住院时间、总住院时间及住院费用均低于对照组，差异有统计学意义（P<0.05）;干预后对照组生活质量评分低于观察组，差异有统计学意义（P<0.05）。结论：快速康复理念在无充气经腋窝入路腔镜下甲状腺癌根治术围手术期护理中的应用具有重要意义，能够显著提高患者的生活质量，有利于患者术后的临床恢复，在临床中可广泛应用。

【关键词】 快速康复理念 无充气经腋窝入路 腔镜 甲状腺癌根治术 围手术期护理 QOL评分

doi：10.14033/j.cnki.cfmr.2020.20.036 文献标识码 B 文章编号 1674-6805（2020）20-00-03

Observation on Nursing Effect of Endoscopic Thyroidectomy through Axillary Approach without Inflation/HONG Zhou， YU Li. //Chinese and Foreign Medical Research， 2020， 18（20）： -92

[Abstract] Objective： To explore the nursing effect of radical resection of thyroid cancer under endoscope through axillary approach without inflation. Method： A total of 94 patients with thyroid cancer under endoscope through axillary approach without inflation who admitted to our hospital from January to December 2019 were selected and randomly divided into the control group and the observation group， 47 cases in each group. The control group used routine nursing in the perioperative nursing， the observation group used the concept of rapid rehabilitation nursing. Preoperative hospital stay， total hospital stay， hospital expenses and quality of life of the two groups were compared. Result： The preoperative hospitalization time， total hospitalization time and hospitalization cost in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. After intervention， the quality of life score of the control group were lower than those of the observation group， the differences were statistically significant （P<0.05）. Conclusion： The concept of rapid rehabilitation is of great significance in the perioperative nursing of radical resection of thyroid cancer under endoscopy through axillary approach without inflation， which can significantly improve the quality of life of patients， is conducive to the postoperative clinical recovery of patients， and can be widely applied in clinical practice.

[Key words] Rapid rehabilitation concept Transaxillary approach without inflation Endoscope Thyroid cancer radical operation Perioperative nursing

QOL scores

First-authors address： First Affiliated Hospital of Xiamen University， Xiamen 361001， China

甲状腺癌是临床中常见的一种甲状腺恶性肿瘤，其常见的临床症状表現有甲状腺内肿块、吞咽困难、声音嘶哑、呼吸不畅、淋巴结肿大、发烧发热、腹泻、心悸等[1]。随着无充气经腋窝入路腔镜下甲状腺癌根治术临床成功报道的不断增加，腔镜甲状腺手术随之出现快速发展的现象。近几年，越来越多甲状腺癌患者采取该术式进行治疗，并取得良好疗效。然而相关专家们指出，该术式一方面要求医生具备娴熟的技术，另一方面还要求医护人员对围手术期患者开展正确的护理，这是因为手术结果在一定程度上受到护理措施的影响[2]。笔者所在医院在行无充气经腋窝入路腔镜下甲状腺癌根治术治疗甲状腺癌患者的过程当中，加以快速康复理念护理，取得满意效果，报道如下。

1 资料与方法

1.1 一般资料