3D打印技术辅助手术联合多元化围术期护理在胫骨平台患者加速康复护理中的应用

Application of 3D Printing Technology Assisted Surgery Combined with Diversified Perioperative Nursing in Accelerating Rehabilitation Nursing of Patients with Tibial Plateau

目的探讨3D打印技术模拟手术联合多元化围术期护理在胫骨平台骨折患者加速康复护理中的应用效果。方法将本院同一主诊组收治的83例胫骨平台骨折患者按是否采用3D打印技术辅助手术分为对照组(41例)和观察组(42例)。对照组采用常规围术期护理,观察组采用3D打印技术模拟手术联合多元化围术期护理,比较两组围术期手术相关指标、术中医护配合熟练度、干预前后焦虑自评量表(SAS)评分、疼痛程度、术后膝关节功能评分。结果观察组围术期手术相关指标、术中医护配合熟练度优于对照组;焦虑自评量表(SAS)评分、视觉模拟评分法(VAS)评分均较对照组更低,差异有统计学意义(P<0.05);术后膝关节功能评分量表(HSS)评分较对照组更高,差异有统计学意义(P<0.05)。结论3D打印技术辅助手术联合围术期的多元化快速康复干预能显著改善手术相关指标,减少手术应激创伤,减轻患者焦虑情绪,并提高膝关节功能,缩短住院时间,加速术后康复,效果优于常规围术期护理。

Objective To explore application effect of 3D printing technology simulation surgery combined with diversified perioperative nursing in accelerating rehabilitation nursing for patients with tibial plateau fractures.Methods The paper chose 83 patients with tibial plateau fractures treated in our hospital,and divided them into control group of 41 cases and observation group of 42 cases based on assisted surgery of 3D printing technology.Control group was treated with routine perioperative nursing,while observation group with 3D printing technology to simulate surgery combined with diversified perioperative nursing.Perioperative surgical related indicators,proficiency in traditional Chinese medicine nursing cooperation,Self Rating Anxiety Scale(SAS)scores,pain level,and postoperative knee joint function scores were compared between two groups before and after intervention.Results Observation group had better perioperative surgical related indicators and proficiency in traditional Chinese medicine nursing cooperation than control group;scores of Self Rating Anxiety Scale(SAS)and Visual Analog Scale(VAS)were lower than control group,difference was statistically significant(P<0.05).Postoperative Knee Joint Function Scale(HSS)scores in postoperative group were higher than control group,difference was statistically significant(P<0.05).Conclusion 3D printing technology assisted surgery combined with diversified rapid rehabilitation interventions can significantly improve surgical related indicators,reduce surgical stress and trauma,alleviate anxiety,improve knee joint function,shorten hospital stay,accelerate postoperative recovery,and achieve better results than routine perioperative nursing during perioperative period.