【摘要】 目的：探讨加速康复外科理念在甲状腺良性肿块患者围手术期护理中的应用效果。方法：选取2017年1月至2018年9月东莞市桥头医院外三科收治的90例腔镜甲状腺良性肿块切除术患者，分为两组，对照组（45例）应用常规护理，观察组（45例）应用加速康复外科理念护理。比较两组的围手术期相关指标、应激情况及术后并发症。结果：观察组手术当天的焦虑评分低于对照组，固体食物耐受时间、住院时间短于对照组（P <0.05）；观察组术后1 d的胰岛素抵抗指数低于对照组（P <0.05）；观察组术后并发症发生率为0，对照组为13.33%，差异有统计学意义（P <0.05）。结论：加速康复外科理念能够促进甲状腺良性肿块手术患者的术后康复，减少术后应激和并发症。更多还原

【Abstract】 Objective: To explore the effect of the concept of enhanced recovery after surgery in the perioperative period of patients with benign thyroid masses. Methods:The total of 90 patients with endoscopic benign thyroid mass resection in Qiaotou Hospital of Dongguan from January 2017 to September 2018, were selected and divided into two groups, 45 cases in each group. The conventional nursing mode was used in the control group and the concept of enhanced recovery after surgery was used in the observation group. Compare perioperative related indexes, stress status and postoperative complications in the two groups. Results:The anxiety score on the day of operation in the observation group was lower than that in the control group, the time of solid food tolerance and hospitalization was shorter than that in the control group(P < 0.05); the homeostasis model assessment insulin resistance of 1 d after operation in the observation group was lower than that in the control group(P < 0.05). Conclusion:The concept of enhanced recovery after surgery can promote postoperative rehabilitation of patients with benign thyroid mass surgery and reduce postoperative stress.更多还原