加速康复外科理念应用于甲状腺癌手术100例

目的 观察加速康复外科(ERAS)在甲状腺癌手术患者围手术期的应用效果。 方法 选取行双侧甲状腺癌根治术的患者150例,随机分为ERAS组(100例)、常规手术组(50例)。ERAS组围手术期采取一系列符合加速康复理念的优化措施,非ERAS组采取传统术前准备措施。比较两组术后疼痛评分、术后恶心、术后住院时间、住院费用、并发症等指标。 结果 ERAS组患者术后疼痛评分、恶心发生例数均较低,引流管拔除时间、住院时间短,住院费用减少;其他术后并发症发生例数均较少且差异无统计学意义。 结论 甲状腺癌手术患者围手术期采用ERAS理念处理可明显降低术后疼痛、恶心等不适,缩短住院时间,节省住院费用。

Enhanced recovery after surgery applied to 100 cases of thyroid cancer surgery

Objective To explore the perioperative application value of enhanced recovery after surgery(ERAS)in patients requiring radical surgery for thyroid carcinoma. Methods A total of 150 patients were randomly divided into the ERAS group(100)and control group(50). Both groups underwent radical surgery for thyroid carcinoma. Patients in ERAS group underwent a series of measures as recommended by the enhanced recovery philosophy, and those in the control group were treated by traditional method. Outcomes were assessed in terms of visual analogue scale(VAS), postoperative nausea and vomiting(PONV), postoperative complications, postoperative suction drainage, drainage tube removal time, subcutaneous hydrops, and postoperative stay. Results Compared to the control group, the ERAS group had lower postoperative pain score, fewer PONV cases, lesser medical expenses, and shorter drainage tube removal time and postoperative stay. Few postoperative complications were noted in both groups. Conclusion The application of ERAS in patients requiring radical surgery forthyroid carcinoma can effectively relieve postoperative discomfort such as pain and nausea, and shorten hospital stay.