机器人外科学杂志（中英文）2025，Vol.6Issue(4)：691-694,700,5.DOI:10.12180/j.issn.2096-7721.2025.04.031
基于加速康复外科理念的新护理模式在机器人辅助胸腔镜纵隔肿瘤切除术患儿中的应用
Application of a novel nursing model based on ERAS concepts in pediatric patients undergoing robot-assisted thoracoscopic mediastinal tumor resection
摘要
Abstract
Objective:To investigate the efficacy of a novel nursing model based on enhanced recovery after surgery(ERAS)concepts in pediatric patients undergoing robot-assisted thoracoscopic mediastinal tumor resection.Methods:100 pediatric patients with mediastinal tumors treated at Beijing Children's Hospital,Capital Medical University from July 2020 to June 2023 were selected and randomly divided into the control group(n=50,conventional nursing)and the study group(n=50,ERAS-based nursing).Perioperative indicators,WBC count,IL-6,and CRP levels at 1 d and 5 d postoperatively,visual analogue scale(VAS)scores at 12 h,24 h,48 h and 72 h postoperatively,and complication rates were compared between the two groups.Results:Compared to the control group,the study group had shorter operative time,drainage tube duration,time to first ambulation and length of hospital stay,as well as reduced intraoperative blood loss,drainage volume,and hospitalization costs(P<0.05).Compared to 1 d before surgery,both groups showed decreased WBC,IL-6 and CRP levels at 5 d postoperatively,and they were lower in the study group than those in the control group(P<0.05).The study group also demonstrated lower VAS scores at 12 h,24 h,48 h,and 72 h postoperatively(P<0.05).The total complication rate was significantly lower in the study group than that in the control group(P<0.05).Conclusion:Application of ERAS-based nursing model in pediatric patients undergoing robot-assisted thoracoscopic mediastinal tumor resection can effectively shorten operative time,reduce intraoperative blood loss and drainage volume,lower hospitalization costs and complication rates,mitigate inflammatory responses and postoperative pain,which can accelerate patients'recovery after surgery.关键词
纵隔肿瘤/儿童/机器人辅助手术/胸腔镜手术/加速康复外科Key words
Mediastinal Tumor/Children/Robot-assisted Surgery/Thoracoscopic Surgery/Enhanced Recovery after Surgery分类
临床医学引用本文复制引用
杨雪,张钰,白雪梅,温璇,赵迪,郭东..基于加速康复外科理念的新护理模式在机器人辅助胸腔镜纵隔肿瘤切除术患儿中的应用[J].机器人外科学杂志（中英文）,2025,6(4):691-694,700,5.基金项目
北京市自然科学基金-海淀原始创新联合基金(L232059)Natural Science Foundation of Beijing—Haidian District Joint Fund for Original Innovation(L232059) （L232059）
