机器人辅助全髋关节置换术的护理模式探讨

目的总结机器人辅助全髋关节置换术(THA)的护理配合要点，探讨机器人辅助关节置换手术的护理模式。 方法回顾性分析2019年10月至2021年8月在北京大学第三医院骨科完成的110例机器人辅助下单侧、初次THA患者的临床资料及手术室护理流程，并与同期100例传统单侧THA手术进行对比，比较手术时间、住院天数、术中出血量，组间比较采用独立样本t检验。 结果机器人辅助THA平均手术时间为(115.5±28.2)min，显著长于对照组的手术时间(70.4±11.6)min(t＝14.89，P<0.001)，平均住院日及术中出血量两组间没有差异。 结论机器人辅助THA需重视护理配合，不断总结经验，形成有效的护理管理模式，进一步缩短手术时间。

Discussion on nursing mode of robot assisted total hip arthroplasty

ObjectiveTo summarize the principal of nursing cooperation in robot assisted total hip arthroplasty (THA), to explore the nursing mode of robot assisted joint replacement. MethodsA retrospective analysis of the clinical data and operating room nursing process was carried out to compare 110 patients of the robot assisted THA with 100 patients of traditional unilateral THA in the Department of Orthopaedics of the Third Hospital of Peking University from October 2019 to August 2021. The variables such as operation time, hospital stay length and intraoperative blood loss were compared and analyzed by t test. ResultsThe average operation time of robot assisted THA was (115.5±28.2) min, which was significantly longer than that of the control group (70.4±11.6) min (t=14.89, P<0.001). There was no difference in average length of stay and intraoperative bleeding between the two groups. ConclusionNursing cooperation should be paid more attention in robot assisted THA, experience shall be constantly summarized to form an effective nursing management mode, and further shorten the operation time.