Abstract:Objective To explore the clinical effect of endoscopic placement of spring coils combined with tissue glue embolization in the treatment of liver cirrhosis with esophageal and gastric variceal bleeding.Methods The medical records of patients with liver cirrhosis accompanied by esophageal and gastric variceal rupture and hemorrhage,who were treated in Wenzhou Central Hospital from January 2019 to January 2024,were retrospectively analyzed.75 patients who were treated with endoscopic spring coil implantation combined with tissue glue embolization were included in the combination group.In addition,74 patients who were only treated with endoscopic tissue glue embolization were included in the embolization group,and the efficacy and safety of the two groups were compared.Peripheral blood hemoglobin(Hb),red blood cells(RBC),albumin(ALB),platelets(PLT),gastric varices diameter,gastrin(GAS),motilin(MTL)and length of hospital stay were different before and after treatment.Results The 3-month rebleeding rate and tissue glue dosage in combination group were lower than those in embolization group,with statistical significance(P＜0.05).3 months after surgery,the serum Hb and ALB values in the combination group were higher than those in the embolization group,with statistical significance(P＜0.05),and serum GAS and MTL levels in the combination group were lower than those in the embolization group,with statistical significance(P＜0.05).The operative complication rate of 5.33％in the combination group was not statistically different from that of 12.16％in the embolization group(P＞0.05).Conclusion Endoscopic implementation of spring coil insertion combined with tissue gel embolization for the treatment of liver cirrhosis with esophageal and gastric variceal bleeding has a lower long-term rebleeding rate,which is more conducive to the recovery of peripheral blood indicators and gastrointestinal function in patients.

Abstract:Laparoscopic anatomic hepatectomy is the complete laparoscopic resection of anatomically independently defined liver segments,subsegments,or combined segments.This technique removes the lesion along with the corresponding hepatic segments of the portal vein branching basin,which helps to reduce the risk of tumor dissemination of metastasis in the ruffled hepatic segment via portal vein flow and reduces the incidence of postoperative complications,and is therefore considered the preferred surgical procedure of choice for hepatic resection of liver cancer.This video shows the detailed procedure of laparoscopic anatomic hepatic S8 resection.

Abstract:The main pattern of hepatocellular carcinoma metastasis is the intrahepatic metastasis via portal vein,therefore,anatomical liver resection based on portal vein territory is a traditional surgical procedure for hepatocellular carcinoma.Laparoscopic anatomical liver resection of S8 might be a difficult procedure,for the identification and exposure of G8 by Glissonean approach first(from the hilum)is difficult and time-consuming,associated with a higher incidence of bile leakage,and its clinical application is difficult.Exposure of the main hepatic vein(MHV,RHV)from the cranial side through preceding liver parenchyma transection approach combined with marking of the G8 root using intraoperative ultrasound-guidance can better guide the parenchymal dissection between S5 and S8,reduce the difficulty of laparoscopic anatomical liver resection of S8,and facilitate clinical application and promotion.

Abstract:Objective To investigate the effect of acupuncture on wound pain and inflammatory factors after external dissection and internal ligation of mixed hemorrhoids.Methods 180 patients undergoing external dissection and internal ligation of mixed hemorrhoids admitted in kunshan sixth people's hospital from August 2023 to August 2024 were selected and randomly divided into two groups,an acupuncture group and a control group,with 90 cases in each.The control group received routine treatment,and the acupuncture group received acupuncture treatment.The changes in wound pain on the 1st,3rd and 5th days after operation,the inflammation indicators before and after treatment,perioperative indicators,efficacy and adverse reactions were compared between the two groups.Results The effects of different intervention measures on patients' wound pain,C-reactive protein and IL-6 over time,as well as the interaction of group with time,and the time factors and acupuncture(group)factors were all statistically significant(F=8.459,21.192,68.634,all P＜0.05).The hospitalization time,postoperative wound healing time and first postoperative defecation time of patients in the acupuncture group were lower than those in the control group(P＜0.05).The excellent and good rate of curative effect in the acupuncture group was higher than that in the control group(P＜0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P＞0.05).Conclusions Acupuncture effectively relieves wound pain after external dissection and internal ligation of mixed hemorrhoids and reduces the level of inflammatory factors in patients.

Abstract:Objective To investigate the effect of ultrasound-guided femoral nerve block combined with a sciatic nerve block on perioperative stress response and postoperative pain in patients with lower extremity varicose veins.Methods A total of 102 patients who underwent high ligation and stripping of unilateral great saphenous varices from October 2018 to June 2022 in Meihekou Central Hospital were selected and divided into two groups according to the random number table method:the ultrasound-guided femoral nerve block combined with a sciatic nerve block group(group N,n=51)and the subarachnoid anesthesia group(group C,n=51).The systolic blood pressure(SBP),diastolic blood pressure(DBP)and heart rate(HR)of the two groups of patients were recorded immediately after anesthesia,5 minutes after anesthesia,20 minutes after anesthesia,and immediately after the operation.VAS scores at resting state at 2h,4h,8h,12 h and 24 h after operation were compared.The operation time,block onset time,active activity time and postoperative adverse reactions were recorded in the two groups.Results SBP,DBP and HR in the two groups at 5 minutes after anesthesia,20 minutes after anesthesia,and immediately after the operation were lower than those immediately after anesthesia,and the differences were statistically significant(P＜0.05).SBP and DBP of group N 5 minutes after anesthesia,20 minutes after anesthesia and immediately after operation were higher than those of group C,and the differences were statistically significant(P＜0.05).There were no significant differences in HR 5 minutes after anesthesia,20 minutes after anesthesia and immediately after surgery between the two groups(P＞0.05).The VAS scores at 8h,12h and 24h in the two groups were higher than those at 2h after operation(P＜0.05).The VAS scores of group N at 2h,4h,8h,12h and 24h after operation were significantly lower than those of group C,and the differences were statistically significant(P＜0.05).The operation time and active activity time of group N were significantly shorter than those of group C,and the onset time of block was significantly longer than that of group C,and the differences were statistically significant(P＜0.05).The incidence of postoperative nausea and vomiting in group N was significantly lower than that in group C,and the difference was statistically significant(P＜0.05).There was no significant difference between the two groups in the incidence of postoperative skin pruritus or urinary retention.Conclusion The application of ultrasound-guided femoral nerve block anesthesia to patients with lower extremity varicose veins can stabilize intraoperative hemodynamic indexes,reduce perioperative stress response,improve postoperative analgesia,promote postoperative recovery,and reduce postoperative incidence of nausea and vomiting.

Abstract:Objective To investigate the application of self-management based on the pattern of IKAP intervention in the prevention and nursing of radioactive dermatitis in patients with radiotherapy of tumors.Methods Using convenience sampling,92 cancer patients who were admitted to the Department of Radiation Therapy at our hospital from January 2022 to December 2023 and underwent radiotherapy were selected.These patients were then randomly assigned into two groups,with each group comprising 46 patients,using a random number table method.The control group was given conventional radiotherapy care,and the observation group was additionally given IKAP model-based self-management intervention.The occurrence and severity of radiation dermatitis after radiotherapy were observed and compared between the two groups.Skin Disease Quality of Life Scale(DLQI)was used to evaluate and compare the quality of life of the two groups before and after intervention.Results Before the intervention,the DLQI scores of the two groups were similar,and the difference was not significant(P＞0.05).After implementation of self-management intervention based on the pattern of IKAP,DLQI score of the observation group was improved and was obviously higher than that of control group,with statistically significant difference(P＜0.05).The incidence and severity of grade 2 and higher radiation dermatitis in the observation group were both lower than those in the control group,with statistically significant differences(P＜0.05).Conclusions Self-management intervention based on IKAP model for tumor radiotherapy patients can effectively prevent the occurrence and reduce the severity of radiation dermatitis,which is helpful to reduce the impact of radiation dermatitis on patients' quality of life.

Abstract:Right-sided colon cancer(RCC)is a common malignant tumor in the gastrointestinal system.Currently,surgery is the primary treatment method for RCC,with the traditional surgical approaches including medial,cranial,caudal and full midline approaches.However,factors such as patient's body size,tumor location,anatomy and vascular complexity may increase the difficulty of unidirectional surgery.In this video,the caudal-cranial-medial approach is employed to address the limitations of individual approaches,synergistically combining their benefits to provide a procedure that is shorter,clearer,safer and less bloody.

Abstract:Objective To investigate the efficacy and safety of genicular artery embolization(GAE)in treating inflammatory knee pain.Methods A retrospective analysis was conducted on 6 patients with inflammatory knee pain who underwent GAE between November 2023 and October 2024 in changzhou second peple's Hospital.The therapeutic effects were evaluated using Visual Analogue Scale(VAS)and Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC).Results Six patients(1 male and 5 females)with a median age of 55.5(range:33.0～74.0)years were enrolled.The etiologies included knee osteoarthritis(4 cases),post-operative rheumatoid arthritis(1 case),and post-operative synovial osteochondromatosis(1 case).GAE was successfully completed in all patients.Embosphere microspheres were used in 4 cases,and imipenem/cilastatin powder was used in 2 cases.The median volume of embolic agents was 0.8(range:0.5～1.6)mL.One patient experienced transient skin discoloration that resolved after symptomatic treatment.At one-month follow-up,the VAS score decreased from the preoperative value of 7.0(6.0～7.0)to the postoperative value of 3.0(2.0～3.0)(P＜0.05),and the WOMAC score decreased from 58.5(44.0～76.0)to 27.0(22.0～32.0)(P＜0.05).During the 1-9 months follow-up period,all patients remained stable without surgical complications.Conclusion GAE can effectively relieve inflammatory knee pain with good efficacy and safety.

Abstract:Laparoscopic hepatectomy has become one of the important treatment modalities for hepatocellular carcinoma(HCC).More and more scholars believe that anatomical hepatectomy can help to improve patient prognosis,but how to perform laparoscopic anatomical hepatectomy is a question that the majority of surgeons continue to explore.This video demonstrates a laparoscopic anatomic central(S4,5,8)hepatectomy in a patient with central liver HCC using the surgical technique of intrinsic hepatic anatomical landmarks combined with target hepatic pedicle pre-blocking to obtain hepatic surface ischemic line.

Abstract:Objective To explore the clinical value of transcatheter arterial embolization(TAE)in the treatment of hemodynamically unstable traumatic hemothorax.Methods A retrospective analysis was conducted on the clinical data of 15 patients with hemodynamically unstable traumatic hemothorax who underwent TAE between April 2015 and December 2023 in changzhou second people's Hospital.All patients underwent preoperative CT and other related examinations to confirm the diagnosis and assess the injury.During the procedure,the responsible arteries were embolized.Postoperative follow-up continued until the patients were discharged or died in the hospital.Technical success was defined as successful catheterization to the responsible bleeding vessel and successful embolization treatment.Clinical success was defined as discharge after recovery without additional surgical interventions for hemostasis during hospitalization.Results A total of 15 patients were included,all of whom first underwent closed thoracic drainage.Fourteen patients underwent TAE directly,while 1 patient underwent TAE after the failure of surgical hemostasis.Angiography showed varying degrees of contrast extravasation from the intercostal arteries in all patients.Among them,6 cases were complicated with pseudoaneurysms,1 case showed contrast extravasation from the L1 and L2 arteries,and 2 cases showed contrast extravasation from the internal iliac artery.The number of embolized arteries ranged from 1 to 7,with an average of 5.Two patients underwent embolization of the anterior intercostal artery.The technical success rate was 100％,and the clinical success rate was 66.7％.There were 5 deaths,resulting in a mortality rate of 33.3％,including 1 death due to severe craniocerebral injury,2 due to multiple organ failure,and 2 due to disseminated intravascular coagulation.No serious embolization-related complications were observed.Conclusion TAE for the treatment of hemodynamically unstable traumatic hemothorax offers the advantages of being minimally invasive and providing effective hemostasis,making it a safe and effective treatment method.

Abstract:Objective To evaluate the clinical feasibility and safety of transumbilical single-port laparoscopic hysterectomy in patients with moderate to severe pelvic adhesions.Methods A retrospective analysis was conducted on the medical records of patients who underwent transumbilical single-port laparoscopic total hysterectomy with or without bilateral salpingo-oophorectomy at the Affiliated Hospital ofYangzhou University from June 2019 to December 2023.The primary diagnoses included uterine fibroids,adenomyosis,endometriosis and benign ovarian tumors,all complicated by moderate to severe pelvic adhesions.For comparison,a control group was selected comprising patients who underwent traditional multi-port laparoscopic total hysterectomy with or without bilateral salpingo-oophorectomy of similar conditions.The clinical outcomes of both groups were systematically compared and analyzed.Results In the single-port laparoscopy group the surgeries were successfully completed,without serious complications,transfer laparotomy or serious infection,and all patients were discharged as scheduled.The length of hospitalization,postoperative ventilation duration and the proportion of drain placement in the single-port laparoscopy group were lower than those in the multi-port laparoscopy group(P＜0.05).There were no significant statistical differences observed in intraoperative bleeding,postoperative hemoglobin value,conventional white blood cells,neutrophil ratio,hypersensitive C-reactive protein,coagulation function or adhesion score(P＞0.05).Conclusion A comprehensive preoperative evaluation of patients should be conducted,and surgical indications must be strictly adhered to.Transumbilical single-port laparoscopy is utilized for the treatment of patients with large uterus complicated by moderate to severe pelvic adhesions.This procedure has been demonstrated to be safe and feasible,with rapid postoperative recovery and a shortened hospital stay.

Abstract:Abdominoperineal resection(APR)is a traditional surgical procedure for low rectal cancer.However,following APR,a significant cavity is left in the pelvic region.The pelvic floor peritoneum is usually closed using barbed wire.For certain patients who have undergone chemoradiotherapy,direct suturing of the pelvic floor peritoneum may not be feasible.In such cases,the method of covering the pelvic floor peritoneum with the ileal mesentery can be effectively employed for suturing.

Abstract:Objective To explore the application effect of the responsibility group management combined with the integrated management of operating room and supply room in the management of operation instruments.Methods The instruments used in 80 surgeries performed in Changzhou Second People's Hospital from January 2023 to December 2023 were selected as the research subjects.Among them,40 surgeries performed between January 2023 and June 2023 were applied with conventional instrument management mode and set as the control group.The 40 surgeries performed between July 2023 and December 2023 were designated as the observation group,using the mode of combining responsibility group management with the integrated management of operating room and supply room.The quality of instrument management,instrument preparation error,instrument loss rate,smooth transfer rate and medical staff satisfaction in the operating room were compared between the two groups.Results The quality score of instrument management in the operating room in the observation group was significantly higher than that in the control group(P＜0.05).The device loss in the observation group were significantly lower than those in the control group(P＜0.05),and the smooth transfer rate was significantly higher than that in the control group(P＜0.05).The satisfaction of medical staff in the observation group was significantly higher than that in the control group(P＜0.05).Conclusion The application effect of the mode of responsibility group management combined with the integrated management of operating room and supply room in the operation instrument management is remarkable,which can effectively improve the quality of instrument management in the operating room,reduce the loss rate of instrument preparation,improve the smooth transfer rate of instruments and the satisfaction of medical staff,and is worthy of popularization and application.

Abstract:Objective To analyze the efficacy and safety of single-port laparoscopic hernia needle(SPLHN)surgery in the treatment of pediatric indirect inguinal hernia(IIH).Methods A retrospective analysis was conducted on the clinical data of 108 children with IIH admitted to the Department of Pediatric General Surgery at Wuxi Children's Hospital from May 2022 to June 2025.According to propensity score matching,they were divided into a study group of 57 cases and a control group of 51 cases.Among them,the study group was treated with SPLHN surgery,while the control group was treated with conventional two-port laparoscopic surgery.The perioperative indicators,24-hour postoperative inflammatory response,complications and parents'aesthetic satisfaction of the two groups of children were compared.Results There were no differences in operation time,blood loss,recovery time of bowel sounds,and hospital stay between the two groups(P>0.05).The facial expressions,leg movements,activity,crying and consolable FLACC pain score at 6 hours after operation,as well as the inflammatory response index at 24 hours after operation in the study group were lower than those in the control group(P<0.05).There was no difference in the incidence of complications between the two groups(P>0.05).The cosmetic satisfaction of parents in the study group was higher than that in the control group(P<0.05).Conclusion Compared with conventional two-port laparoscopic surgery,SPLHN does not increase operation time,blood loss,hospital stay or complications,but has advantages in early pain,inflammatory response and aesthetic satisfaction.

Abstract:Objective To analyze the clinical efficacy and safety of drug-coated balloons(DCB)combined with stents in the treatment of coronary artery bifurcation lesions.Methods 84 patients with coronary bifurcation lesions who were treated in Pizhou Hospital of Traditional Chinese Medicine,Jiangsu Province from August 2023 to July 2024 were selected and grouped by propensity score matching,including 41 cases in the control group(treated with stent)and 43 cases in the observation group(treated with DCB combined with stents).The success rate of surgery,the minimum lumen diameter and lumen stenosis rate of vascular target lesions immediately after surgery and 12 months after surgery,intraoperative complications,major adverse cardiovascular events(MACE)within 12 months after surgery,and the late-stage lumen loss of blood vessels were compared between the two groups of patients.Results There was no significant difference in the success rate of surgery or the total incidence of complications between the two groups(χ2=0.397,1.114,respectively,P>0.05).There were no differences between the two groups in the minimum lumen diameter and lumen stenosis rate either for the main lumen,(t=1.868,1.270,respectively,P>0.05)or for branch lumens(t=1.898,1.174,respectively,P>0.05)immediately after the operation.At 12 months after the operation for both the main and branch lumens,the minimum lumen diameters of the observation group were larger than those of the control group,and the lumen stenosis rates were lower than those of the control group(t=2.196,3.574,4.554,5.426,respectively,P<0.05).The total incidence of MACE as well as the late-stage lumen loss of main and branch lumens in the observation group were lower than those in the control group(χ2=4.420,6.049,22.760,P<0.05).Conclusion DCB combined with stents can better improve the lumen diameter and stenosis in patients with coronary bifurcation lesions,and reduce the incidence of MACE and the late-stage lumen loss of blood vessels.

Abstract:Objective To compare the efficacy of InterTan intramedullary nail with proximal femoral nail antirotation(PFNA)internal fixation in elderly patients with osteoporotic intertrochanteric fractures(ITF)of the femur.Methods 70 elderly patients with osteoporotic ITF admitted to our hospital from June 2023 to August 2024 were selected as the research subjects.They were divided into an experimental group(treated with InterTan intramedullary nail fixation)and a control group(treated with PFNA fixation)using a random number table method,with 35 cases in each group.The perioperative indicators,complications,fracture healing time,Harris scores at 1 month and 6 months after surgery,excellent and good rate of hip joint function recovery at 6 months after surgery,as well as refracture and internal fixation loosening within 12 months after surgery were compared between the two groups of patients.Results The operation time,blood loss,postoperative blood transfusion volume and hospitalization cost of the experimental group were greater than those of the control group(P<0.05),while there were no differences in hospital stay and the incidence of complications between the two groups(P>0.05).The full weight-bearing activity time and fracture healing time of the experimental group were shorter than those of the control group(P<0.05),and the Harris scores at 1 month and 6 months after the operation were higher than those of the control group(P<0.05).The excellent and good rate of the experimental group was higher than that of the control group(P<0.05).There were no differences in the incidences of refracture and internal fixation loosening between the two groups(P>0.05).Conclusion Both InterTan intramedullary nail and PFNA internal fixation have good effects in the treatment of senile osteoporotic ITF.Although InterTan intramedullary nail increases the operation time,intraoperative blood loss and hospitalization expenses,it can significantly shorten the postoperative full weight-bearing time of patients and promote the recovery of joint function.

Abstract:Objective To investigate the clinical effect of gynaecological hysteroscopic day surgery under ERAS mode.Methods 2,000 patients who underwent hysteroscopic surgery in Changzhou Second People's Hospital from January 2021 to September 2024 were divided into the control group(n=1,000)and the study group(n=1,000).The study group received hysteroscopic day surgery,and the ERAS mode was applied before,during and after the operation.The control group was treated with conventional inpatient hysteroscopic surgery.The clinical data of the two groups were collected,compared and analyzed.Results Preoperative hospital days and total hospital days in the study group were fewer than those in the control group,which was statistically significant(P<0.05).Total hospital costs in the study group were lower than those in the control group,which was statistically significant(P<0.05).In terms of postoperative complications,such as reproductive system infection,postoperative bleeding,uterine perforation,air embolism,etc.,there was no statistical significance in the differences between the two groups(P>0.05).Conclusion Hysteroscopic day surgery has the advantages of convenience,safety and efficiency compared with conventional inpatient hysteroscopic surgery,and can reduce patients'hospital stay and medical costs.

Abstract:Objective To investigate the effects of modified low ligation technique during laparoscopic radical resection of colorectal cancer on postoperative gastrointestinal function recovery,inflammation/stress response,and incidence of complications.Methods A retrospective analysis was conducted on the clinical data of 70 patients who underwent laparoscopic radical resection for colorectal cancer in The Sixth People's Hospital of Nantong from January 2021 to January 2025.The patients were divided into a control group(with conventional high ligation,35 cases)and a study group(with modified low ligation,35 cases)according to the intraoperative treatment method.The recovery time of gastrointestinal functions,the inflammation/stress indicators,and the incidence of complications within 30 days after surgery were compared between two groups.Results The recovery time of various gastrointestinal functions in the study group was significantly shorter than that in the control group(P<0.05).On the first and third day after surgery,both groups showed increases in inflammation/stress indicators compared with preoperative levels,but the increases in the study group were significantly smaller than those in the control group(P<0.05).The total incidence of complications in the study group was 14.29%,significantly lower than the control group's 42.86%(P<0.05).Neither group experienced perioperative mortality.The study group showed significantly lower intraoperative blood loss and shorter hospital stay with reduced total cost compared with the control group(all P<0.05).No statistically significant difference was observed in operation time between the two groups(P>0.05).Conclusion The improved low ligation technique during laparoscopic radical resection of colorectal cancer can accelerate the recovery of gastrointestinal function,reduce postoperative inflammation/stress response,and lower the incidence of complications.It is worth promoting.

Abstract:Objective To explore the effect of action research method on health management and rational emotional intervention to improve the quality of life of burn scar patients.Methods 460 patients with post-burn scars admitted to the Burn Department of Changzhou Second People's Hospital from January 2022 to December 2024 were selected.They were divided into a control group(n=222,receiving routine nursing care from January 2022 to June 2023)and an observation group(n=238,receiving health management combined with appropriate emotional intervention,based on the action research method of plan,action,observation,reflection and adjustment,from July 2023 to December 2024).The psychological emotions before and 2 weeks after intervention was compared between the two groups,using the Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS),and Psychological Resilience Scale(CD-RISC).Their Quality of Life Comprehensive Evaluation Questionnaire-74(GQOL-74)and incidence of complications were also compared.Results After intervention,the SAS score(28.97±2.74)and SDS score(26.94±2.88)of the observation group were lower than those of the control group(32.69±3.58 and 30.06±3.14,respectively),while the CD-RISC score(69.33±6.07)was higher than that of the control group(64.29±5.81)(t=12.564,11.115,9.084,respectively,P<0.05).After intervention,the physical function(92.13±3.84),social function(88.27±4.13),psychological function(90.06±3.93),material life(96.12±1.05),and GQOL-74 total score(366.58±8.11)of the observation group were higher than those of the control group(88.26±4.01,84.96±4.78,87.46±3.62,93.94±1.58,and 354.62±6.59,respectively)(t=10.573,7.962,7.365,17.536,17.285,respectively,P<0.05).The incidence of complications in the observation group was 2.10%,which was lower than the control group's 6.76%(χ2=5.987,P<0.05).Conclusion Adopting action research method based health management and rational emotional intervention in the care of burn scar patients can improve negative emotions,enhance psychological resilience and quality of life,and reduce the occurrence of complications.

Abstract:Objective To investigate the application of individualized management based on comprehensive evaluation in elderly patients with non-small cell lung cancer(NSCLC)after surgery.Methods 90 elderly non-small cell lung cancer patients admitted to the Affiliated Hospital of Jiangsu University from January 2023 to December 2024 were selected as the research subjects.The patients were randomly divided into an observation group and a control group,with 45 cases in each group.The control group received routine care,while the observation group received individualized postoperative management based on comprehensive evaluation on the basis of the control group.The Hamilton Anxiety Scale(HAM-A),Hamilton Depression Scale(HAM-D),Cancer Fatigue Scale(CFS),General Self-Efficacy Scale(GSES),Quality of Life Questionnaire Core 30(QLQ-C30)of the two groups were compared before intervention,15 days after intervention,and 1 month after intervention,and the nursing compliance was compared between the two groups 1 month after intervention.Results The HAM-A and HAM-D scores of the observation group were lower than those of the control group at 15 days and 1 month after intervention(P<0.05).At 15 days and 1 month after intervention,the scores of physical fatigue,emotional fatigue and cognitive fatigue in the observation group were lower than those in the control group(P<0.05).The GSES score of the observation group was higher than that of the control group at 15 days and 1 month after intervention(P<0.05).The QLQ-C30 scores of the observation group were higher than those of the control group at 15 days and 1 month after intervention(P<0.05).The total compliance rate of the observation group was higher than that of the control group(P<0.05).Conclusion Individualized postoperative management based on comprehensive evaluation has a significant effect on elderly NSCLC patients,which can effectively improve their self-care ability and quality of life,and help alleviate the degree of cancer-related fatigue and improve nursing compliance.