多学科协作加速康复外科模式在骨科机器人导航下椎弓根钉内固定术病人中的应用

Application of the MDT⁃ERAS Model in Patients Undergoing Orthopedic Robotic⁃Guided Pedicle Screw Internal Fixation

目的探讨多学科协作加速康复外科(MDT⁃ERAS)模式在骨科机器人导航下椎弓根钉内固定术病人中的应用效果。方法选取我院2022年1月至2022年12月收治的行骨科机器人导航下椎弓根钉内固定术病人42例,按照随机数字法分为观察组和对照组,每组21例。对照组病人给予常规护理,观察组病人给予MDT⁃ERAS护理干预。观察两组病人静息性和活动性疼痛、腰椎功能恢复情况、住院时间、病人满意度和围手术期并发症发生情况。结果观察组病人术后静息性和活动性疼痛评分、Oswestry功能障碍指数(ODI)均低于对照组,差异均有统计学意义(P<0.05);住院时间明显较对照组缩短,术后并发症发生率亦明显低于对照组,差异均有统计学意义(P<0.05)。结论对骨科机器人导航下椎弓根钉内固定术的病人采用MDT⁃ERAS模式,可有效降低病人术后疼痛,帮助病人安全度过围手术期,促进病人术后腰椎功能恢复,提高生活质量。

Objective To explore the application effect of MDT⁃ERAS model in patients undergoing orthopedic robotic⁃guided pedicle screw internal fixation surgery.Methods A total of 42 patients who underwent orthopedic robot⁃guided pedicle screw internal fixation in our hospital from January 2022 to December 2022 were selected and randomly divided into a control group and an observation group,with 21 cases in each group.The control group patients received routine care,while the observation group patients received MDT⁃ERAS nursing intervention.The resting and active pain,lumbar functional recovery,length of hospital stay,patient satisfaction,and incidence of perioperative complications were observed in two groups.Results The resting and active pain scores and Oswestry Dysfunction Index(ODI)in the observation group were significantly lower than those in the control group(P<0.05).The hospitalization time was significantly shortened in the observation group as compared with that in the control group.The incidence of postoperative complications was also significantly lower in the observation group than in the control group(P<0.05).Conclusion The MDT⁃ERAS model in patients undergoing orthopedic robotic navigation for pedicle screw internal fixation can effectively reduce postoperative pain and help patients safely survive the perioperative period,while promoting the recovery of postoperative lumbar spine function and improving the quality of life.