标准化综合保温护理在骨盆骨折行天玑骨科机器人辅助微创手术中的应用

Application of standardized comprehensive heat preservation nursing in patients with pelvic fractures undergoing TiRobot-assisted minimally invasive surgery

目的探讨标准化综合保温护理在骨盆骨折行天玑骨科机器人辅助微创手术患者术中的应用效果。方法以2020年6月至2021年12月佛山市中医院收治的100例骨盆骨折行天玑骨科机器人辅助微创手术患者作为研究对象,按照随机数字表法将纳入对象分为对照组和观察组,各50例。对照组患者在围手术期接受常规手术护理,观察组患者在围手术期接受常规护理的基础上同期接受标准化综合保温护理。比较2组手术前后应激反应指标、机体凝血功能、围手术期透视次数、切口长度、低体温发生率及术后骨盆功能评分。结果术前2组患者应激反应指标差异无统计学意义(P>0.05),手术结束时观察组患者心率、血压均优于对照组(P<0.05);术前2组凝血功能指标差异无统计学意义(P>0.05),手术结束时观察组凝血活酶时间(APTT)\凝血酶原时间(PT)和凝血酶时间(TT)水平高于对照组,观察组纤维蛋白原定量(Fg)低于对照组(P<0.05);观察组术中透视次数少于对照组,切口长度短于对照组,术中低体温发生率低于对照组,术后骨盆功能评分高于对照组(P<0.05)。结论将标准化综合保温护理运用于骨盆骨折行天玑骨科机器人辅助微创手术患者术中,可减少术中透视次数、缩短切口长度,降低低体温发生率,稳定患者围手术期应激反应和凝血功能,提升术后骨盆功能评分,具有良好的应用效果。

Objective To explore the application effect of standardized comprehensive heat preservation nursing in patients with pelvic fractures undergoing TiRobot-assisted minimally invasive surgery.Methods From June 2020 to December 2021,100 patients with pelvic fractures who underwent TiRobot-assisted minimally invasive surgery in Foshan Hospital of Traditional Chinese Medicine were taken as the research subjects.The subjects were divided into a control group and an observation group with 50 cases in each according to the method of random numerical table.Patients in the control group received routine surgical care during the perioperative period,while patients in the observation group received standardized comprehensive heat preservation nursing in addition to routine care during the perioperative period.Compare the stress response indexes,coagulation function,perioperative fluoroscopy frequency,incision length,incidence of hypothermia,and postoperative pelvic function score between the two groups before and after surgery.Results There was no statistically significant difference in stress response indicators between the two groups before surgery(P>0.05).At the end of the surgery,the heart rate and blood pressure of the observation group were better than those of the control group(P<0.05).There was no statistically significant difference in coagulation function indexes between the two groups before surgery(P>0.05).At the end of the surgery,APTT,PT and TT in the observation group were higher than those in the control group,and the FG level in the observation group was lower than that in the control group;The observation group had fewer intraoperative fluoroscopy times,shorter incision lengths,lower incidence of intraoperative hypothermia,and higher postoperative pelvic function scores than those in the control group(P<0.05).Conclusion Standardized comprehensive heat preservation nursing is applied to the operation of patients undergoing TiRobot-assisted minimally invasive surgery for pelvic fractures,which can reduce the number of intraoperative fluoroscopy,shorten the length of incision,stabilize the stress response and coagulation function of patients during perioperative period,and improve the score of postoperative pelvic function,with good application effects.