摘要
目的 探究在卵巢恶性肿瘤手术患者麻醉恢复过程中，实行循证理念的预警性护理对并发症及疼痛
程度的应用价值。方法 选取 2021 年 11 月到 2022 年 11 月我院妇科收治的卵巢恶性肿瘤手术患者 100 例，随机
分为实验组和对照组，实验组 50 例患者以循证理念的预警性护理，对照组 50 例予以常规麻醉复苏护理，针对
实验组与对照组患者并发症发生率、麻醉恢复情况及疼痛程度等进行对比分析。结果 实验组并发症发生率为
8.00%，对照组并发症发生率为 24.00%，两组并发症发生率对比结果显示，实验组较低（P＜0.05）；实验组恢
复情况（自主呼吸恢复时间、术后意识恢复时间及气管拔管时间）均优于对照组（P＜0.05）；实验组术后疼痛
程度和对照组相比较低（P＜0.05）。结论 针对卵巢恶性肿瘤手术患者麻醉恢复中，循证理念预警性护理能缩短
恢复时间，降低疼痛指数，减少并发症，建议临床大力推广。
关键词： 循证理念；预警性护理；卵巢恶性肿瘤手术；麻醉恢复；并发症；疼痛程度
Abstract
Objective To explore the application value of evidence-based early warning care on the complications
and pain degree of anesthesia recovery in patients with ovarian malignant tumor surgery. Methods selected from
November 2021 to November 2022, our gynecological surgery of 100 cases, randomly divided into experimental group
and control group, 50 patients with evidence-based concept of early warning care, control group, for experimental group
and control group, the incidence of complications, anesthesia recovery and pain degree. Results Compared with the
control group, the experimental group was lower (P<0.05); the postoperative recovery time, spontaneous breathing and
trachea were shorter, and the control group was longer (P<0.05); the postoperative pain level in the experimental group
was lower compared with the control group (P<0.05). Conclusion Evidence-based early warning nursing can effectively
shorten the recovery time of anesthesia, control the pain degree of patients, reduce the incidence of complications, and it
is suggested to promote clinical practice.
Key words： Evidence-based concept; early warning care; ovarian malignancy surgery; anesthesia recovery;complications; pain degree
参考文献 References
[1] 冯蓓蓓,齐梦.基于循证理念的预警性护理对卵巢恶性肿瘤手术患者麻醉恢复过程并发症及疼痛程度的影响[J].海南医学,2023,34（05）:719-723.
[2] 孟亚萍,于倩倩,王培培.医护患一体化心理管理模式在卵巢癌化疗患者负性情绪及不良反应的影响[J].肿瘤基础与临床,2023,36（06）:530-533.
[3] 牟姗,范凌晔,刘洁曦等.血清人附睾蛋白和癌抗原125 联合预测上皮性卵巢癌术后复发的价值分析[J].川北医学院学报,2023,38（10）:1362-1366.
[4] Wang Ziyuan, Wang Zhi, Zhang Yongmei. Diagnosticvalue of serum human g-protein-coupled bile acid receptor1 microtubule-associated protein light chain 3 andheparin-binding Pro-epidermal growth factor in ovariancancer [J] . China maternal and child health, 2023,38（21） : 4126-4129.
[5] 王静,张文晶,王辉等.M2 型巨噬细胞来源外泌体促进人上皮性卵巢癌细胞顺铂耐药性[J].中国优生与遗传杂志,2023,31（10）:2021-2026.
[6] 宋艳敏,孙广宇,李聪先.Claudin-3 调节 MEK/ERK 信号通路对紫杉醇耐药卵巢癌细胞增殖、迁移和侵袭的影响[J].中国优生与遗传杂志,2023,31（10）:2040-2045.
[7] 魏明翔,丁聪,严彩英等.基于多参数 MRI 影像组学方法鉴别Ⅰ型和Ⅱ型上皮源性卵巢癌[J].临床放射学杂志,2023,42（10）:1636-1641.
[8] 李宾,吝欢欢,韩飞飞等.卵巢癌中 PARP 抑制剂的耐药机制及提高其敏感性的联合治疗策略[J].国际妇产科学杂志,2023,50（05）:563-567.