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

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中图分类号 R473.73R734.5文献标识码A文章编号 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

纵隔肿瘤是临床胸部常见疾病，包括原发性肿瘤和转移性肿瘤。（剩余4820字）