目的：探讨加速康复外科护理在机器人直肠癌根治术围手术期的影响。方法：选取2018 年6 月~2019 年6 月在甘肃省人民医院肛肠科确诊直肠恶性肿瘤并行机器人直肠癌根治术的患者150 例，依据随机数字表法分为两组，各75 例。对照组给予常规护理干预，观察组给予直肠癌术后加速康复外科（Enhanced recovery aftersurgery，ERAS）护理干预，观察并比较两组患者的术后康复情况和术后心理状态。结果：与对照组相比，观察组术后首次进食时间和住院时间较短，并发症发生率均较低。结论：对行机器人直肠癌根治术的患者给予加速康复外科护理，有利于患者术后康复并显著改善其心理状态，缩短首次进食时间和住院时间，减少术后并发症的发生。

Objective: To evaluate the effect of enhanced recovery after surgery nursing on perioperative period of robot-assisted radical resection on rectal cancer. Methods: A total of 150 patients who underwent roboticassisted radical resection on rectal cancer in the department of colorectal surgery of Gansu Provincial Hospital from June 2018 to June 2019 were enrolled in this study. They were randomly divided into control group and observation group, 75 cases in each group. The control group was given routine nursing intervention, while the observation group was given enhanced recovery after surgery (ERAS) nursing intervention. The postoperative recovery and psychological state of the two groups were observed and compared. Results: Compared with the control group, the observation group had a shorter first diet time, hospitalization time and lower incidence of complications. Conclusion: The ERAS nursing is beneficial to the postoperative recovery of patients underwent robot-assisted radical resection of rectal cancer, which can significantly improve their psychological state, shorten the first diet time and hospitalization time, reduce the occurrence of postoperative complications.

收稿日期：2020-03-21 录用日期：2020-06-22

Received Date: 2020-03-21 Accepted Date: 2020-06-22

基金项目：甘肃省卫生行业科研计划项目（GSWSKY-2019-109）

Foundation Item: Scientific Research Project of Health Industry of Gansu Province (GSWSKY-2019-109)

通讯作者：王小英，Email：58138326@qq.com

Corresponding Author: Wang Xiaoying, Email: 58138326@qq. com

引用格式：王小英，陈玲娟，彭彩丽，等. 加速康复外科护理在机器人直肠癌根治术围手术期的应用[J]. 机器人外科学杂志，2020，1（5）：327-331.

Citation: WANG X Y, CHEN L J, PENG C L, et al. Effect of enhanced recovery after surgery nursing on perioperative period of robot-assisted radical resection on rectal cancer [J]. Chinese Journal of Robotic Surgery, 2020, 1(5):327-331.

[1] 郑荣寿, 孙可欣, 张思维, 等. 2015 年中国恶性肿瘤 流行情况分析[J]. 中华肿瘤杂志, 2019, 41(1): 19-28. 

[2] 严晓云, 李玉伟, 温艳. 快速康复外科理念在全 膝关节置换患者护理中的应用[J]. 中华护理教育, 2019, 16(6): 457-461. 

[3] 冯梅玲. 快速康复护理对结肠癌术后病人住院时 间、住院费用、胃肠功能的影响[J]. 全科护理, 2019, 17(1): 86-88. 

[4] 曹永丽, 王文航, 杨维维, 等. 快速康复外科在腹 腔镜结肠次全切除逆蠕动盲直肠吻合术治疗慢传 输型便秘围手术期护理的应用前景 [J]. 中华结直肠 疾病电子杂志, 2017, 6(4): 345-348. 

[5] 沈平华. 快速康复外科在肾囊肿腹腔镜手术病人 围术期护理中的应用[J]. 全科护理, 2017, 15(20): 2482-2483. 

[6] 叶小琴. 快速康复对妇科肿瘤患者腹腔镜手术护理 中的护理效果及心理波动的影响[J]. 世界华人消化 杂志, 2017, 25(21): 1976-1979. 

[7] 陈万青, 郑荣寿, 张思维, 等. 2012 年中国恶性肿 瘤发病和死亡分析 [J]. 中国肿瘤, 2016, 25(1): 1-8. 

[8] Heald R J, Ryall R D. Recurrence and survival after total mesorectal excision for rectal cancer [J]. Lancet, 1986, 1(8496): 1479-1482. 

[9] 许剑民, 秦新裕, 余佩武. 机器人结直肠癌手术专 家共识(2015)[J]. 中华结直肠疾病电子杂志, 2015, 4(6): 584-590. 

[10] Law W L, Foo D C C. Comparison of short-term and oncologic outcomes of robotic and laparoscopic resection for mid-and distal rectal cancer [J]. Surg Endosc, 2017, 31(7): 2798-2807. 

[11] TANG B, ZHANG C, LI C, et al. Robotic total mesorectal excision for rectal cancer: a series of 392 cases and mid-term outcomes from a single center in china [J]. J Gastrointest Surg, 2017, 21(3): 569-576. 

[12] Teigen N C, Sahasrabudhe N, Doulaveris G, et al. Enhanced recovery after surgery (eras) at cesarean to reduce postoperative length of stay: a randomized controlled trial[J]. American Journal of Obstetrics and Gynecology, 2019, 29(3): 163-169. 

[13] HAO S Z, ZHANG J J. The application value of concept of enhanced recovery after surgery in patients with colorectal carcinoma after natural orifce specimen extraction surgery [J]. Chinese journal of oncology, 2019, 41(10): 81-94. 

[14] 罗肇林, 钟武, 陈利生. 快速康复在结直肠癌手术 中的应用[J]. 结直肠肛门外科, 2015, 21(4): 299- 302. 

[15] Uhlig C, Rössel T, Denz A, et al. Effects of a metabolic optimized fast track concept (MOFA) on bowel function and recovery after surgery in patients undergoing elective colon or liver resection: