关键词: 手术风险模型, 早期下床活动时机, 肾肿瘤, 术后康复水平, 并发症, 生活质量

Abstract: Objective To explore the application effect of early mobilization timing based on the Risk of Surgical Complication（RoSCo）scoring system in renal tumor patients after surgery．Methods From June 2021 to June 2024,80 patients with renal tumors admitted to the hospital were selected as the research subjects．They were randomly divided into an observation group and a control group using a random number table method,with 40 patients in each group．All patients underwent laparoscopic partial nephrectomy．The control group received routine care and early postoperative mobilization intervention,while the observation group received routine care and early mobilization intervention based on the RoSCo scoring system．The postoperative rehabilitation level,pain level and sleep quality,incidence of complications,and quality of life between two groups were compared．Results The first time getting out of bed,exhaust,defecation and postoperative hospitalization time in observation group（[19.30±4.17]h,[22.03±4.15]h,[29.93±5.58]h,[5.35±1.33]h） were shorter than those in control group（[25.08±5.11]h,[29.38±5.75]h,[34.20±5.98]h,[7.35±2.38]h）,the differences were statistically significant（t=- 5.540,-6.557,-3.308,-4.637,all P<0.05）．After operation,VAS score（3.93±0.92）and PSQI score（9.13±1.64）in the observation group were higher than those in the control group（[5.38±1.25]and[12.23±2.40]）,and the differences were statistically significant（t=-5.902,-6.747,both P<0.05）．The complication rate of the observation group （7.50%） was lower than that of the control group（χ²=5.541,P=0.019）．After operation,SF-36 scores in the observation group were physiological function（84.45±9.74）,general health（60.75±10.65）,physical pain（65.65±8.60）,physiological function（72.98±9.22）,vitality（71.95±6.93）,social function（75.38±8.33）,spiritual health（75.63±8.02）and emotional function（65.43±9.70）,which were higher than those of the control group（physiological function[69.98±10.09],general health[53.58±7.96],physical pain[58.83±9.35],physiological function[65.68±7.58]and vitality[62.83±12.80],social function[68.98±10.99],mental health[71.58±9.69],emotional function[57.90±6.86]）,and the differences were statistically significant（t=6.530,3.414,3.398,3.870,3.966,2.936,2.037,4.004,all P<0.05）．Conclusions Early mobilization intervention based on the RoSCo scoring system can promote postoperative recovery,assist in reducing postoperative pain,improve sleep quality,reduce the incidence of complications,and further enhance the quality of life of patients with renal tumors．

Key words: surgical risk model, early timing for mobilization, renal tumors, postoperative rehabilitation level, complication, quality of life