机器人外科学杂志（中英文）2024，Vol.5Issue(4)：697-703,7.DOI:10.12180/j.issn.2096-7721.2024.04.037
MAKO机器人辅助全髋关节置换术患者预防DVT的护理策略构建及实施效果探讨
Construction and implementation of nursing strategies for DVT prevention in patients undergoing MAKO robot-assisted total hip arthroplasty
摘要
Abstract
Objective:To explore the construction and implementation effect of nursing strategies for deep venous thrombosis(DVT)prevention in patients undergoing MAKO robot-assisted total hip arthroplasty.Methods:120 patients who underwent MAKO robot-assisted total hip arthroplasty in Beijing Jishuitan Hospital Affiliated to Capital Medical University from January 2022 to August 2023 were selected and randomly divided into the control group(n=60,routine nursing care)and the observation group(n=60,Nursing intervention strategies for DVT prevention).The incidence of DVT and the recovery of limb function in the two groups of patients were compared.Results:The incidence of DVT in the observation group was lower than that in the control group at 1 and 2 weeks after surgery,which was statistically significant(P<0.05).The peridiameter difference of the affected limb and the numerical rating scale(NRS)on the 1st,2nd,3rd,5th,and 7th day after surgery in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).The level of D-dimer(D-D)and fibrinogen(Fbg),plasma viscosity,and red blood cell aggregation index in the observation group were lower than those in the control group at the 1st and 3rd day after surgery,and the differences were statistically significant(P<0.05).The Harris score of the observation group was higher than that of the control group at discharge and 1 month after discharge,and the step length and pace of the observation group were higher than those of the control group at discharge and three months after discharge,with statistical significance(P<0.05).Conclusion:The construction of perioperative nursing strategy for MAKO robot-assisted total hip arthroplasty could reduce the occurrence of postoperative DVT,alleviate limb swelling,and promote the recovery of joint function of patients,which is worthy of clinical application.关键词
机器人辅助手术/全髋关节置换术/下肢深静脉血栓/护理策略Key words
Robot-assisted Surgery/Total Hip Arthroplasty/Lower Extremity Deep Venous Thrombosis/Nursing Strategy分类
医药卫生引用本文复制引用
徐冉冉,刘紫依..MAKO机器人辅助全髋关节置换术患者预防DVT的护理策略构建及实施效果探讨[J].机器人外科学杂志（中英文）,2024,5(4):697-703,7.基金项目
北京积水潭医院人才培养计划(XKGG202201) Beijing Jishuitan Hospital Talent Training Program(XKGG202201) （XKGG202201）
