机器人辅助腹腔镜前列腺癌根治术后胃管拔除时机的探讨.docVIP

机器人辅助腹腔镜前列腺癌根治术后胃管拔除时机的探讨 　　[摘要] 目的 探讨机器人辅助腹腔镜前列腺癌根治性切除术后胃管拔除的最佳时机。 方法 选择2012年7月～2013年6月解放军总医院收治的行机器人辅助腹腔镜前列腺癌根治术的患者110例为研究对象，按病区不同分为实验组（n = 52）和对照组（n = 58）。实验组术后24 h内拔除胃管，对照组术后肛门排气后拔除胃管，比较两组患者术后住院时间、肛门排气时间及下床活动时间。 结果 ①实验组术后住院天数[（6.67±3.21）d]少于对照组[（8.90±6.21）d]，差异有高度统计学意义（P 0.05）；实验组患者术后24～ 48 h、72～ 96 h肛门排气时间所占比例（46.15%、7.69%）高于对照组（29.31%、24.14%），差异有统计学意义（P 0.05）。③实验组术后 24 h、24～ 48 h、48～ 72 h、72～ 96 h、≥ 96 h下床活动患者所占比例分别为19.23%、42.31%、36.54%、1.92%、0.00%，与对照组（3.46%、27.58%、22.41%、31.03%、15.52%）比较，差异均有统计学意义（均P 0.05）。 结论 前列腺癌行机器人辅助腹腔镜根治性切除术患者尽早拔除胃管，有利于促进患者康复，提高患者舒适度，减少患者住院期间费用，提高护理人员工作效率。 　　[关键词] 机器人；腹腔镜；前列腺癌；胃管 　　[中图分类号] R737.14 [文献标识码] A [文章编号] 1673-7210（2014）04（a）-0035-03 　　Discussion of the optimal time to remove gastric tube of patients undergoing robot-assisted laparoscopic redical prostatectomy 　　HOU Cuicui YIN Wenwen WANG Fang XU Juanjuan ZHAO Meiling DING Hua▲ 　　Department of Urology， the General Hospital of PLA， Beijing 100853， China 　　[Abstract] Objective To investigate the optimal time to remove the gastric tube of patients undergoing robot-assisted laparoscopic redical prostatectomy. Methods 110 patients undergoing robot-assisted laparoscopic prostatectomy in the General Hospital of PLA from July 2012 to June 2013 were selected as study objects， and they were divided into experimental group （n=52） and control group （n=58） according to different department， the experimental group was removed gastric tube within postoperative 24 hours， the control group was removed gastric tube after anus exhaust， length of hospital after operation， postoperative anal exhaust time， ambulation time of two groups were compared. Results ① The length of hospital after operation of the experimental group [（6.67±3.21） d] was shorter than that of the control group [（8.90±6.21） d]， the difference was high statistically significant （P ? 0.01）. ② The proportion of postoperative anal exhaust time 　　[Key words] Robot； Laparoscope； Prostate cancer； Gastric tube 　　前列腺癌好发于中老