目的：评估达芬奇手术机器人辅助胆囊癌根治术中加速康复护理与疼痛管理的应用效果，以优化术后恢复流程，提升 患者康复质量。方法：选取 2021 年 1 月—2023 年 7 月于空军军医大学第二附属医院普通外科接受机器人辅助胆囊癌根治术 的 110 例患者，并按照随机数字表法将其分为研究组（n=55）和对照组（n=55），研究组采用加速康复护理与疼痛管理，对 照组采用常规护理。比较两组患者术后康复情况、术后疼痛评分、心理状态以及并发症发生情况。结果：研究组在术后排气、 排便、开始进食时间，腹腔引流管拔除时间，镇痛药物使用频次，以及住院时长和费用方面均少于对照组（P<0.05）；研究 组患者术后24 h、48 h及72 h疼痛评分均显著低于对照组（P<0.05）；研究组护理后心理状态评分均明显低于对照组（P<0.05）； 研究组护理期间的并发症发生人数和总发生率少于对照组（P<0.05）。结论：加速康复护理与疼痛管理在达芬奇手术机器人 辅助胆囊癌根治术中的应用效果显著，值得在临床实践中进一步推广和应用。

Objective: To evaluate the application effect of enhanced recovery after surgery (ERAS) nursing and pain management in Da Vinci robot-assisted radical cholecystectomy for gallbladder cancer, with the purpose of optimizing the recovery processes and improving patients’ recovery quality. Methods: 110 gallbladder cancer patients who underwent robot-assisted radical cholecystectomy from January 2021 to July 2023 in the Department of General Surgery, the Second Affiliated Hospital of the Air Force Medical University were selected. They were divided into the study group (n=55) and the control group (n=55) using a random number table. Patients in the study group received ERAS nursing and pain management, while the control group received routine nursing. Postoperative rehabilitation conditions, postoperative pain scores, psychological status, and complications of patients in the two groups were compared. Results: Compared with the control group, the time of postoperative exhausting and defecation, feeding time, abdominal drainage tube removing time, the frequency of analgesic usage, the length of hospital stay and hospitalization cost in the study group were less in the control group (P<0.05). The scores of pain at 24 h, 48 h, and 72 h postoperatively and the scores of psychological status after nursing intervention in the study group were significantly lower than those in the control group (P<0.05). Cases of complications and the total incidence rate of complications during nursing care in the study group were less than those in the control group (P<0.05). Conclusion: The effect of ERAS nursing and pain management in Da Vinci robot-assisted radical cholecystectomy is significant, which is worth further promotion and application in clinical practice.

基金项目：陕西省自然科学基础研究计划项目（2020JM-327）

Foundation Item: Natural Science Basic Research Plan Project of Shaanxi Province (2020JM-327) 

引用格式：答秀维，赵超，杨媛，等 . 达芬奇手术机器人辅助胆囊癌根治术中加速康复护理与疼痛管理应用效果的评估 [J]. 机器人外科学杂 志（中英文），2025，6（2）：309-312，318. 

Citation: DA X W, ZHAO C, YANG Y, et al. Effect of ERAS nursing and pain management in Da Vinci robot-assisted radical  cholecystectomy for gallbladder cancer[J]. Chinese Journal of Robotic Surgery, 2025, 6(2): 309-312, 318. 

通讯作者（Corresponding Author）：蒋婉（JIANG Wan），Email：3941687777@qq.com

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