Background: Minimally invasive and rapid recovery are trends in surgical treatment of lung cancer, and Da Vinci Surgical Robotic System plays an important role in them. This study was planned to explore the effect of chest wall external nursing interventions on reducing postoperative thoracic drainage and promoting rapid recovery of patients.
Methods: The patients who underwent robotic radical lung cancer resection in our hospital from November 2017 to April 2018were randomly divided into two groups. The control group received robotic radical lung cancer resection with abdominal bands wrapped around the chest. The experimental group underwent Da Vinci robotic radical lung cancer surgery and assisted chest wall external nursing interventions after surgery.
Results: The total and average daily drainage of the experimental group were less than those of the control group. Both the extubation time and the hospitalization time were shorter than those of the control group, but there was no significant difference. The pain score in the second days after operation of the experimental group was slightly higher than that of the control group, with no significant statistical difference. For patients whose chest wall thickness is less than 4 cm, mirabilite external application can significantly reduce the average daily and total drainage volume, but there is no significant difference in extubation time and hospitalization time.
Conclusions: Chest wall external nursing interventions are beneficial to the recovery of patients undergoing Vinci robotic lung cancer surgery. Especially for patients with thinner chest wall. It can reduce postoperative drainage, shorten tube retention time and accelerate discharge. Further improvement is expected to achieve better clinical results.
【中文题目：胸壁外敷护理干预在达芬奇机器人肺癌手术后的应用效果】 【中文摘要：背景与目的 微创与快速康复是肺癌外科治疗的趋势，而达芬奇机器人在肺癌的治疗及快速康复中起到重要作用。本研究探索在其基础上结合胸壁外敷的护理干预措施，对减少术后胸腔引流量、促进患者快速康复的作用。方法 对我院2017年11月1日-2018年4月2日行达芬奇机器人肺癌根治术的患者进行随机分组，对照组常规行达芬奇机器人肺癌根治术，术后胸部缠绕腹带。实验组行达芬奇机器人肺癌根治术，术后辅助胸壁局部外敷芒硝进行护理干预。统计相关数据并分析。结果 实验组的术后总引流量、日均引流量均少于对照组，术后拔管时间短于对照组，住院时间较对照组缩短，但无明显统计学差异。术后第2天疼痛评分上，实验组略高于对照组，无明显统计学差异。对于胸壁厚度≤4 cm的患者，胸壁外敷的护理干预可显著减少术后日均及总引流量，但在拔管时间、住院时间上无明显差异。结论 胸壁外敷护理干预有利于达芬奇机器人肺癌手术患者的术后恢复，尤其对于胸壁厚度较小的患者，能够减少术后引流量，缩短留管时间，加快出院。进一步改良后有望达到更好的临床效果。】 【中文关键词：达芬奇机器人；肺肿瘤；护理干预；芒硝】.
Keywords: Da Vinci Surgical Robotic System; Lung neoplasms; Mirabilite; Nursing interventions.