基于加速康復(fù)外科理念的新護(hù)理模式在機(jī)器人輔助胸腔鏡縱隔腫瘤切除術(shù)患兒中的應(yīng)用

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中圖分類號 R473.73R734.5文獻(xiàn)標(biāo)識碼A文章編號 2096-7721（2025）04-0691-05

Application of a novel nursing model based on ERAS concepts in pediatric patients undergoing robot-assisted thoracoscopic mediastinal tumor resectior

YANG Xue， ZHANG Yu， BAI Xuemei， WEN Xuan， ZHAO Di， GUO Dong （Operating Room，Beijing Children'sHospital， Capital Medical University，Beijing 1Ooo45，China）

AbstractObjective：Toinvestigatetheeficacyofanovelnursingmodelbasedonenhancedrecoveryaftersurgery（ERAS）concepts in pediatric patintsudergingbot-asistedtoracosopicmediastialtmorese.Methos：pediatricpatnts witastial tumorstreatedatBeijngCidren’sHospital，CapialMedicalUniversityfroJulyOtoJune2O23wereselectedandandomlydiided into the control group （n=5O， conventional nursing） and the study group （ n=. 50，ERAS-based nursing）.Perioperative indicators，WBC count， IL-6，andvelsat1dd5doopaelysalalogeale（Vorat124，48d7opily complicationrateswerecomparedbetweenthetogroups.Results：Comparedtothecontrolgroup，thestudygrouphadshorteroperative time，drainageburatosbladlgthoosalysellsuedopatieod volume，and hospitalization costs （ P<0 . 0 5 ） . 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， 4 8 h ，and 72 h postoperatively （ P<0 . 0 5 ）.The total complication rate was significantly lower in the study group than that in the control group P<0 . 0 5 . Conclusion： Application of ERAS-based nursing model in pediatric patients undergoing robot-asistedthoracoscopicmdiastialtumoresetionanfectivelyshortenoperatietieduceintraoperativebloodlossand drainageolue，owrospitalizationostsdcomplicationates，itigateiflmmatorysposesandpstopatieainican accelerate patients’ recovery after surgery.

KeyWordsMediastinal Tumor； Children；Robot-asistedSurgery；Thoracoscopic Surgery；EnhancedRecoveryafterSurgery

縱隔腫瘤是臨床胸部常見疾病，包括原發(fā)性腫瘤和轉(zhuǎn)移性腫瘤。（剩余4820字）