首页|睿米神经外科医疗机器人立体定向血肿抽吸术围术期快速康复外科理念干预效果分析

睿米神经外科医疗机器人立体定向血肿抽吸术围术期快速康复外科理念干预效果分析

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目的 探讨睿米神经外科医疗机器人立体定向血肿抽吸术围术期快速康复外科理念(ERAS)干预的效果。方法 回顾性分析新乡市中心医院神经外科2020-01-2022-12 行睿米机器人立体定向颅内血肿抽吸术的78 例高血压脑出血(HCH)患者的临床资料。根据围术期干预方法分为对照组和ERAS组,各39 例。比较2 组患者的围手术期指标,采用简易智力状态检查(MMSE)评分、美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer量表(FMA)和Barthel指数(BI)评价患者术前及术后2 周的认知功能、神经功能、肢体运动功能和日常生活能力。结果 2 组手术时间和术中出血量差异无统计学意义(P>0。05)。ERAS组患者术后首次排气时间、排便时间及住院时间均短于对照组,差异有统计学意义(P<0。05)。2 组患者术前的MMSE评分、NIHSS评分、FMA评分及BI评分差异均无统计学意义(P>0。05);术后2 周时,2 组患者的上述评分均较术前显著改善,其中ERAS组患者的改善效果均优于对照组,差异均有统计学意义(P<0。05)。结论 与常规干预比较,睿米神经外科医疗机器人立体定向血肿抽吸术围术期采取ERAS理念干预,可提高围手术期管理效果,促进患者术后神经功能恢复。
Application effect of perioperative nursing intervention under concept of enhanced recovery after surgery for ster-eotactic hematoma aspiration with Remote medical robot
Objective To evaluate the application effect of perioperative nursing intervention under the concept of enhanced recovery after surgery(ERAS)for stereotactic hematoma aspiration with the Remote medical robot.Methods The clinical data of 78 patients with hy-pertensive intracerebral hemorrhage(HCH)were retrospectively analyzed in the Department of Neurosurgery of Xinxiang Central Hospital from January 2020 to December 2022,and according to perioperative intervention methods,all subjects were divided into control group and ERAS group,39 cases in each group.The perioperative data were collected and compared between the two groups.The cognitive function,neurologi-cal function,motor function and daily living ability of the patients before and 2 weeks after surgery were evaluated using the simple mental State Examination(MMSE)score,national institutes of health stroke scale(NIHSS),fugl-meyer scale(FMA)and barthel index(BI).Results There was no significant difference in operation time and intraoperative blood loss between the two groups(P>0.05).The first ex-haust time,the first defecation time and hospital stay in the ERAS group were lower than those in the control group(P<0.05).There was no significant difference in preoperative MMSE score,NIHSS score,FMA score and BI score between the two groups(P>0.05).At 2 weeks after surgery,the above scores of patients in both groups were significantly improved compared with those before surgery,and the improvement effect of patients with ERAS group was better than that of control group,with statistical significance(P<0.05).Conclusion Compared with conven-tional intervention,the perioperative nursing intervention under the concept of ERAS for stereotactic hematoma aspiration with Remote medical robot can improve the perioperative management effect and promote the postoperative nerve function recovery of patients.

Remote medical robotStereotactic hematoma aspirationEnhanced recovery after surgeryPerioperative nursing

吕玉杰、王玉莉

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河南新乡市中心医院(新乡医学院第四临床学院)神经外科一 新乡 453099

睿米机器人 立体定位下穿刺抽吸血肿术 快速康复外科 围手术期护理

河南省医学科技攻关(联合共建)项目

LHGJ20210916

2024

河南外科学杂志
郑州大学

河南外科学杂志

影响因子:0.709
ISSN:1007-8991
年,卷(期):2024.30(5)