ERAS理念下补充式肺结节微波消融病人术后康复效果

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[关键词]胸外科手术，电视辅助；微波；消融技术；术后加速康复;疼痛，手术后[中图分类号]R561;R454.1 [文献标志码]A [文章编号] 2096-5532（2025）05-0758-05doi：10.11712/jms.2096-5532.2025.61.151 [开放科学（资源服务）标识码（OSID）][网络出版] https：//link.cnki.net/urlid/37.1517.R.20251103.1402.003； 2025-11-0411：22：49

Postoperativerehabilitationof patients withpulmonary nodulesundergoing microwave ablation basedontheconcept of enhanced reco veryaftersurgeryHAN Wenjie，CUI Xiangyu，LIChenxuan，LURuizhen（Departmentof Medical Examination Center， Qingdao Women and Children’s Hospital，Qingdao 266o42，China）

[Abstract]ObjectiveToinvestigate theapplicationefectofenhancedrecoveryaftersurgery（ERAS）inrehabilitationafter microwaveablation（MWA）.MethodsAtotalof91patients withmultiple pulmonarynoduleswho werediagnosedandtreated inQingdaoCentralHospital，Universityof HealthandRehabitationSciences，fromJanuary20l9toDecember 2023 wereenroled，andaftersurgerforhighrisknodules，MWAwasperformedforremainingpulmonarynodules.The48patientsinthecontrolgroupreceivedroutineinterventionduring theperioperativeperiod，whilethe43patientsintheERASgroupreceivedERAS intervention.The two groups were compared in terms of general conditions，surgical complications，and hospital costs. Results Compared withthecontrol group，theERAS grouphad significantreductionsinthetimeofoperationandthetotalengthof hospital stay （t=2.48，6.12，P<0.05） . There was no significant diference in the incidence rate of complications between the two groups （ P>0.05' . The ERAS group had a milder degree of pain than the control group （ ⋅Z=3.41，P<0.05） . Compared with the control group，the ERAS group was significantly lower costs of drugs （Z=3.70，P<0.05） ）anda significantly higher cost of consumables 0 ⋅Z=6.90，P<0.05 ）during hospitalization. ConclusionUnder the concept of ERAS，MWA for remaining pulmonary nodules afterpreviousthoracoscopictreatmentcanefectivelyalleviatepostoperativepainandshortenthetimeofsurgeryandthelengthof hospital stay，and therefore，it is a safe，effective，and feasible treatment regimen.

[Key words]thoracic surgery，video-assisted；microwaves；ablation techniques；enhanced recovery after surgery；pain， postoperative

加速康复外科（ERAS）理念于1997年被首次提出[1]，是一种多学科协作的围手术期管理模式，旨在通过优化麻醉管理、减少术前禁食、术后早期活动、精准镇痛和个体化营养支持等一系列干预措施，加速病人术后恢复，减少并发症和住院时间[2]ERAS在肺外科手术中的应用能够显著改善病人术后恢复情况，提高术后舒适度，并降低术后并发症的发生率[3]。（剩余10830字）