机器人外科学杂志（中英文）2025，Vol.6Issue(2)：309-312,318,5.DOI:10.12180/j.issn.2096-7721.2025.02.022
达芬奇手术机器人辅助胆囊癌根治术中加速康复护理与疼痛管理应用效果的评估
Effect of ERAS nursing and pain management in Da Vinci robot-assisted radical cholecystectomy for gallbladder cancer
摘要
Abstract
Objective:To evaluate the application effect of enhanced recovery after surgery(ERAS)nursing and pain management in Da Vinci robot-assisted radical cholecystectomy for gallbladder cancer,with the purpose of optimizing the recovery processes and improving patients'recovery quality.Methods:110 gallbladder cancer patients who underwent robot-assisted radical cholecystectomy from January 2021 to July 2023 in the Department of General Surgery,the Second Affiliated Hospital of the Air Force Medical University were selected.They were divided into the study group(n=55)and the control group(n=55)using a random number table.Patients in the study group received ERAS nursing and pain management,while the control group received routine nursing.Postoperative rehabilitation conditions,postoperative pain scores,psychological status,and complications of patients in the two groups were compared.Results:Compared with the control group,the time of postoperative exhausting and defecation,feeding time,abdominal drainage tube removing time,the frequency of analgesic usage,the length of hospital stay and hospitalization cost in the study group were less in the control group(P＜0.05).The scores of pain at 24 h,48 h,and 72 h postoperatively and the scores of psychological status after nursing intervention in the study group were significantly lower than those in the control group(P＜0.05).Cases of complications and the total incidence rate of complications during nursing care in the study group were less than those in the control group(P＜0.05).Conclusion:The effect of ERAS nursing and pain management in Da Vinci robot-assisted radical cholecystectomy is significant,which is worth further promotion and application in clinical practice.关键词
机器人辅助技术/加速康复外科护理/疼痛管理/胆囊癌根治术Key words
Robot-assisted Technology/Enhanced Recovery After Surgery Nursing/Pain Management/Radical Cholecystectomy分类
医药卫生引用本文复制引用
答秀维,赵超,杨媛,董叶叶,张洪新,王琳,蒋婉..达芬奇手术机器人辅助胆囊癌根治术中加速康复护理与疼痛管理应用效果的评估[J].机器人外科学杂志（中英文）,2025,6(2):309-312,318,5.基金项目
陕西省自然科学基础研究计划项目(2020JM-327) Natural Science Basic Research Plan Project of Shaanxi Province(2020JM-327) （2020JM-327）
