快速康复外科理念下围手术期护理干预在天玑骨科机器人辅助治疗胸腰椎骨折中的应用效果

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Abstract Objective To evaluate the effect of perioperative nursing intervention under the concept of enhanced recovery after surgery for thoracolumbar fractures treated with the TiRobot.Methods Sixty patients with Thoracolumbar fractures treated with the TiRobot from November 2020 to November 2021 in Affiliated Hospital of Putian University were selected,and they were divided into a control group and an observation group using the random number table method,with 30 cases in each group.In the control group,conventional nursing intervention was used,and in the observation group,perioperative nursing intervention under the concept of ERAS was used.Time of urinary catheter removal,time of first feeding,time of getting off the floor,and time of discharge was recorded and analyzed in both groups.The degree of pain was scored by visual analog scale (VAS) score on the 1st,3rd day after the operation.Complications and satisfaction with nursing care in both groups were observed and recorded.Results The time of urinary catheter removal,time of first feeding,time of getting off the floor,and time of discharge after surgery in the observation group were shorter than those in the control group,and the differences were statistically significant (P＜0.05).The VAS scores in the first day and third day after the operation in the observation group were lower than in the control group,and the differences were statistically significant (P＜0.05).The total incidence of perioperative complications in the observation group was lower than in the control group,and the difference was statistically significant (P＜0.05).The degree of satisfaction of perioperative nursing care in the observation group was higher than that in the control group,with statistically significant difference (P＜0.05).Conclusion The perioperative care intervention under the concept of ERAS in patients with thoracolumbar fractures treated with the TiRobot assisted can effectively shorten the postoperative recovery time,reduce pain and decrease perioperative complications.

Key words： Robot Spinal fracture Perioperative care Intervention Enhanced recovery after surgery

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