Analysis of nursing points and intervention effect of endoscopic thyroid surgery via transthoracic mammary approach
经胸乳入路腔镜甲状腺手术的护理要点及干预效果分析

摘要

目的 分析经胸乳入路腔镜甲状腺手术患者护理要点及干预效果。方法 随机筛选2021年2月至2022年1月期间来我医院接受经胸乳入路腔镜手术治疗患者60例，将所有患者分成观察组30例和对照组30例，对照组患者手术期间给予常规护理，观察组则采取综合护理干预，对比两组最终获得的护理效果。结果 护理治疗后两组结果比较显示，观察组护理管理质量、患者依从性均得到显著改善，患者的术中出血量、术后引流量以及发生的并发症均较少，术后患者疼痛程度也较轻，患者的生活质量得到显著改善（P<0.05）。结论 对经胸乳入路腔镜甲状腺手术患者及时采用综合护理干预，可使临床护理质量得到显著提升，减少患者术中出血量，减轻患者疼痛程度，降低并发症发生率，提高患者身体恢复效率及生活质量。

Abstract

Objective to analyze the nursing points and intervention effect of patients undergoing endoscopic thyroid surgery via transthoracic and breast approach.
Methods 60 patients who came to our hospital from February 2021 to February 2022 for endoscopic surgery through thoracic and breast approach were randomly selected. All patients were divided into observation group and control group. The patients in the control group were given routine nursing during the operation, while the observation group was given comprehensive nursing intervention. The final nursing effects of the two groups were compared.
Results After nursing treatment, the results of the two groups showed that the quality of nursing management and the mean value of patient compliance in the observation group were significantly improved, the amount of intraoperative bleeding, postoperative drainage and complications were less, the degree of postoperative pain was less, and the quality of life of the patients was significantly improved(P<0.05).
Conclusion   the use of endoscopic nursing can significantly reduce the incidence of intraoperative thyroid bleeding and improve the patients' quality of life.