基于加速康复理论的精细化护理对机器人辅助膝关节置换术患者的围手术期应用效果

Perioperative effects of refined nursing care based on ERAS onpatients undergoing robot-assisted knee arthroplasty

目的:探讨基于加速康复理论的精细化护理对机器人辅助膝关节置换术患者的围手术期应用效果。方法:选取2022年1月—2023年7月在空军军医大学第二附属医院行机器人辅助膝关节置换术的112例患者,随机分为对照组(56例,常规护理干预)和研究组(56例,基于加速康复理论的精细化护理干预),比较两组围手术期相关指标、视觉模拟评分法(VAS)疼痛评分、美国特种外科医院(HSS)膝关节评分以及并发症发生情况。结果:与对照组相比,研究组手术时间、下床活动时间、进食时间、住院时间更短,住院费用更少,术后8 h、1 d、2 d、3 d VAS评分更低(P<0.05)。术后1周、1个月、3个月、6个月,两组HSS评分较术前均升高,且研究组HSS评分高于对照组(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。结论:基于加速康复理论的精细化护理应用于机器人辅助膝关节置换术患者,可缩短手术时间,减少住院费用,减轻术后疼痛,促进膝关节功能恢复,使患者更快康复。

Objective:To explore the perioperative application effect of refined nursing care based on ERAS on patients undergoing robot-assisted knee arthroplasty.Methods:112 patients who underwent robot-assisted knee arthroplasty in the Second Affiliated Hospital of Air Force Medical University from January 2022 to July 2023 were selected and randomly divided into the control group(n=56)and the research group(n=56).The control group received conventional nursing intervention,and the study group received refined nursing intervention based on ERAS.Perioperative indexes,visual analog scale(VAS)score,American Hospital for Special Surgery(HSS)knee score and incidence of complications were compared between the two groups.Results:Compared with the control group,the study group had shorter operative time,time to get out of bed,time to feed and length of hospital stay,less hospitalization cost,and lower VAS scores at 8 h,1 d,2 d,and 3 d after surgery(P<0.05).At 1 week,1 month,3 months,and 6 months after surgery,HSS scores were higher in both groups compared with those before surgery,and HSS scores were higher in the study group than those in the control group(P<0.05).The incidence rate of complication in the study group was lower than those in the control group(P<0.05).Conclusion:The application of refined nursing care based on ERAS in robot-assisted knee arthroplasty can shorten the operative time,lower hospitalization costs,alleviate postoperative pain,and promote the recovery of knee function.