目的：探讨综合干预对机器人经腋窝乳晕入路甲状腺全麻手术患者情绪及疼痛的影响效果。 方法：选取 2021 年 1 月—2023 年 6 月于空军军医大学第一附属医院行达芬奇机器人经腋窝乳晕入路甲状腺全麻手 术的 122 例患者作为研究对象，采用随机数表法将其分为对照组和研究组，每组各 61 例。对照组实施常规护理干预， 研究组实施综合护理干预。比较两组患者不良情绪、疼痛、舒适度及并发症。结果：与干预前相比，两组患者干预 后汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）评分均降低（P<0.05），简化舒适状况量表（GCQ）各 维度评分均升高（P<0.05），且研究组患者干预后 HAMA、HAMD 评分比对照组更低（P<0.05）；两组患者疼痛率 相比，研究组Ⅰ度疼痛率高于对照组，差异具有统计学意义（P<0.05）；而研究组Ⅲ度疼痛率低于对照组，差异具 有统计学意义（P<0.05）；研究组并发症发生率低于对照组（P<0.05）。结论：综合护理干预应用于达芬奇机器人 经腋窝乳晕入路甲状腺全麻手术患者，可改善其不良情绪，减轻疼痛，提高舒适度，降低并发症。

Objective: To explore the effect of comprehensive intervention on mood and pain in patients undergoing Da Vinci robot-assisted thyroidectomy under general anesthesia through the axilla-breast approach. Methods: 122 patients who underwent Da Vinci robot-assisted thyroidectomy from January 2021 to June 2023 were selected and divided into the control group (n=61) and the study group (n=61) using a random number table. The control group was given conventional intervention, and the study group received comprehensive intervention. Negative mood, pain, comfort, and complications of patients in the two groups were compared. Results: Compared with that before intervention, the scores of Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Rating Scale for Depression (HAM-D) were both decreased in the two groups after intervention (P<0.05). Generalized Comfort Questionnaire (GCQ) scores at all dimensions were increased after intervention (P<0.05), and the HAMA and HAMD scores of the study group were lower than those of the control group after intervention (P<0.05). The incidence rate of degree I pain in the study group was higher than that in the control group, and the difference was statistically significant (P<0.05). However, the incidence rate of degreeⅢpain in the study group was lower than that in the control group, and the difference was statistically significant (P<0.05). The incidence rate of complication in the study group was lower than that in the control group (P<0.05). Conclusion: Comprehensive intervention in patients undergoing Da Vinci robot-assisted thyroidectomy under general anesthesia through the axilla-breast approach could improve negative mood, relieve pain, improve comfort, and reduce complications.

收稿日期：2024-01-18  录用日期：2024-04-15 

Received Date: 2024-01-18  Accepted Date: 2024-04-15 

基金项目：国家自然科学基金项目（82303359）；国家自然科学基金青年项目（81902677） 

Foundation Item: National Natural Science Foundation of China(82303359, 81902677) 

通讯作者：赵洁，Email：2541889495@qq.com 

Corresponding Author: ZHAO Jie, Email: 2541889495@qq.com 

引用格式：王春晓，王哲，罗恒，等 . 综合干预对达芬奇机器人经腋窝乳晕入路甲状腺全麻手术患者情绪及疼痛的影响 [J]. 机器人 外科学杂志（中英文），2024，5（4）：643-647. 

Citation: WANG C X, WANG Z, LUO H, et al. Effect of comprehensive intervention on mood and pain of patients undergoing Da Vinci robot-assisted thyroidectomy under general anesthesia through the axilla-breast approach [J]. Chinese Journal of Robotic Surgery, 2024, 5(4): 643-647.

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