摘要目的:探究甲状腺癌患者术后快速康复中引流管早期拔除的临床应用效果。方法:选取2018年6月至2019年6月入住河南中医药大学第一附属医院的甲状腺癌手术患者90例，按手术时间先后顺序分为对照组和研究组各45例。对照组患者给予常规拔管，研究组患者实行手术后快速康复中引流管早期拔除。对比2组患者的引流管拔除后的并发症发生率、手术后的住院时间、患者的满意度情况及手术后拔管时间分布情况以及手术后3 d患者引流口愈合率。结果:研究组患者手术后快速康复中引流管拔除后并发症发生率为6.7%（3/45），明显低于对照组的26.7%（12/45），差异有统计学意义（ χ2值为6.48， P<0.05）。研究组术后住院时间（3.25 ± 0.89）d，满意度评分为（97.83 ± 7.25）分，明显优于对照组的（5.68 ± 0.96）d和（92.36 ± 12.19）分，差异有统计学意义（ t值为12.45、2.59， P<0.05）。 结论:甲状腺癌患者术后快速康复中引流管早期拔除可有效减少引流管口创伤，缩短住院时间，提高患者的满意度。

abstractsObjective:To explore the clinical application effect of early removal of drainage tube in rapid postoperative recovery of patients with thyroid cancer.Methods:A total of 90 thyroid cancer patients admitted to the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from June 2018 to June 2019 were selected and divided into a control group and a study group according to the order of operation time. Patients in the control group were given routine extubation, and patients in the study group were removed early during rapid recovery after surgery. The complication rate, postoperative hospital stay, satisfaction, extubation time distribution, and drainage port healing rate 3 days after surgery were compared between the two groups of patients.Results:In the study group, the incidence of complications after drainage tube removal during rapid recovery after surgery was 6.7% (3/45), which was significantly lower than that of the control group, 26.7% (12/45), and the difference was statistically significant ( χ2 value was 6.48, P <0.05). The postoperative hospital stay in the study group was (3.25±0.89) days, and the satisfaction score was (97.83±7.25), which was significantly shorter than the control group's (5.68±0.96) days and (92.36±12.19). The difference was statistically significant ( t value was 12.45, 2.59, P <0.05). Conclusions:Early removal of the drainage tube during rapid postoperative recovery of patients with thyroid cancer can effectively reduce the trauma of the drainage tube orifice, shorten the hospital stay, and improve patient satisfaction.