机器人外科学杂志（中英文）2025，Vol.6Issue(4)：686-690,5.DOI:10.12180/j.issn.2096-7721.2025.04.030
路径导向性护理与体温管理策略在机器人辅助腹腔镜下根治性前列腺切除术患者中的应用
Application of pathway-oriented care and body temperature management strategies in patients undergoing robot-assisted laparoscopic radical prostatectomy
摘要
Abstract
Objective:To explore the nursing efficacy of pathway-oriented care and body temperature management strategies in patients undergoing robot-assisted laparoscopic radical prostatectomy(RALRP).Methods:102 patients who underwent RALRP at the First Affiliated Hospital of Air Force Medical University from July 2020 to June 2023 were selected.They were divided into the study group(n=51,pathway-oriented care and body temperature management strategies)and the control group(n=5,routine nursing intervention)using a random number table.Intraoperative body temperature,physiological stress responses,and coagulation function were compared between the two groups of patients.Results:Compared with T0(upon entering the operating room),intraoperative body temperature decreased in both groups at T1(10 min after the start of surgery),T2(30 min after the start of surgery),and T3(end of surgery)(P<0.05).However,the study group showed significantly higher body temperatures than the control group at T1,T2,and T3(P<0.05).After intervention,levels of norepinephrine(NE),cortisol(Cor),plasma renin activity(PRA),and dopamine(DA)increased in both groups compared to those before intervention(P<0.05),but these levels were significantly lower in the study group than those in the control group(P<0.05).Similarly,activated partial thromboplastin time(APTT),thrombin time(TT),prothrombin time(PT),and fibrinogen(FIB)were all increased in the two groups after intervention(P<0.05),yet these values were lower in the study group than those in the control group(P<0.05).Conclusion:The application of pathway-oriented care and body temperature management strategies in RALRP patients can better maintain body temperature,alleviate physiological stress responses,and improve coagulation function.关键词
机器人辅助腹腔镜下根治性前列腺切除术/路径导向性护理/体温管理策略/生理应激/凝血功能Key words
Robot-assisted Laparoscopic Radical Prostatectomy/Pathway-oriented Care/Temperature Management Strategy/Physiological Stress/Coagulation Function分类
临床医学引用本文复制引用
杜冬艳,吴东娟,张梦姣..路径导向性护理与体温管理策略在机器人辅助腹腔镜下根治性前列腺切除术患者中的应用[J].机器人外科学杂志（中英文）,2025,6(4):686-690,5.基金项目
国家自然科学基金(82102322)National Natural Science Foundation of China(82102322) （82102322）
