肺癌患者术后康复的护理途径和预后评估：一项回顾性临床研究
Enhanced recovery after surgery nursing pathway and prognosis assessment in lung cancer patients: A retrospective clinical study.
摘要(中文译文)
加速康复外科（ERAS）路径在肺癌围手术期管理中的应用价值尚需更高级别的证据。本研究旨在评估ERAS护理路径对肺癌根治术患者康复及预后的影响。采用回顾性队列研究设计，纳入2022年1月至2024年1月期间接受肺癌根治术的患者。根据护理模式将患者分为ERAS组（n=121）和常规护理对照组（n=170）。采用倾向性评分匹配控制混杂因素，最终纳入104例匹配良好的患者（每组各52例）进行分析。ERAS组接受多学科、标准化的围手术期干预。比较两组患者的住院时间、康复指标、并发症、生活质量（QoL）及患者体验。匹配后，ERAS组术后住院时间和总住院时间均显著短于对照组（中位数：5.0天 vs 8.0天，P<.001；9.0天 vs 13.0天，P<.001）。ERAS组首次下床活动、排气、经口进食及胸管拔除时间均显著提前（均P<.001）。此外，ERAS组总体并发症发生率（15.4% vs 36.5%，P=.012）和肺部并发症发生率（9.6% vs 25.0%，P=.035）均显著降低。同时，ERAS组术后疼痛评分更低，恶心呕吐发生率更低，而患者满意度和术后早期生活质量评分显著更高（均P<.05）。亚组分析和敏感性分析结果一致，证实了结论的稳健性。对于接受根治术的肺癌患者，实施ERAS护理路径可安全有效地加速术后康复，显著缩短住院时间，降低并发症风险，并改善患者的症状体验和生活质量，具有重要的临床推广价值。
Abstract
The value of applying enhanced recovery after surgery (ERAS) pathways in the perioperative management of lung cancer requires further high-level evidence. This study aimed to evaluate the impact of the ERAS nursing pathway on the recovery and prognosis of patients undergoing radical surgery for lung cancer. A retrospective cohort study design was adopted, including patients who underwent radical lung cancer surgery between January 2022 and January 2024. Based on the nursing model, patients were divided into an ERAS group (n = 121) and a conventional care control group (n = 170). Propensity score matching was used to control for confounding factors, resulting in 104 well-matched patients (52 in each group) for analysis. The ERAS group received multidisciplinary, standardized perioperative interventions. Hospital stay, recovery indicators, complications, quality of life (QoL), and patient experience were compared between the 2 groups. After matching, the postoperative hospital stay and total hospital stay in the ERAS group were significantly shorter than those in the control group (median: 5.0 days vs 8.0 days, P < .001; 9.0 days vs 13.0 days, P < .001). The ERAS group showed significantly earlier times to first ambulation, flatus, oral intake, and chest tube removal (all P < .001). Furthermore, the ERAS group had significantly lower overall complication rates (15.4% vs 36.5%, P = .012) and pulmonary complication rates (9.6% vs 25.0%, P = .035). Additionally, the ERAS group exhibited significantly lower postoperative pain scores, lower incidence of nausea and vomiting, while patient satisfaction and early postoperative QoL scores were significantly higher (all P < .05). Subgroup and sensitivity analyses yielded consistent results, confirming the robustness of the conclusions. For lung cancer patients undergoing radical surgery, implementing the ERAS nursing pathway can safely and effectively accelerate postoperative recovery, significantly shorten hospital stay, reduce the risk of complications, and improve patients' symptom experience and QoL, demonstrating significant clinical value for widespread promotion.
如何引用
AMA
Yanmei Chen, Dequn Chen, Yayuan Wang, Yuanqiang Zhang. Enhanced recovery after surgery nursing pathway and prognosis assessment in lung cancer patients: A retrospective clinical study.. Medicine. 2026; doi:10.1097/MD.0000000000047899.
APA
Yanmei Chen, Dequn Chen, Yayuan Wang, Yuanqiang Zhang (2026). Enhanced recovery after surgery nursing pathway and prognosis assessment in lung cancer patients: A retrospective clinical study.. Medicine. https://doi.org/10.1097/MD.0000000000047899
GB/T 7714
Yanmei Chen, Dequn Chen, Yayuan Wang, Yuanqiang Zhang. Enhanced recovery after surgery nursing pathway and prognosis assessment in lung cancer patients: A retrospective clinical study.[J]. Medicine, 2026 doi:10.1097/MD.0000000000047899.
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