天玑骨科机器人辅助股骨颈空心钉内固定标准化护理的应用研究

张頔; 肖蕊; 张萌萌; 李娜

doi:10.7619/jcmp.20231509

天玑骨科机器人辅助股骨颈空心钉内固定标准化护理的应用研究

Application of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot

摘要

摘要:
目的观察标准化护理在天玑骨科机器人辅助股骨颈空心钉内固定术中的应用效果。
方法将2020年1月—2021年12月收治的48例股骨颈骨折患者设为对照组，将2022年1—6月收治的51例股骨颈骨折患者设为实验组。比较2组患者手术完成时间、术中机器人使用意外发生率和医生满意度。
结果实验组的平均手术时间为(75.67±6.88) min, 短于对照组的(98.83±7.39) min, 差异有统计学意义(t=16.159, P < 0.001)。实验组患者机器人使用意外事件发生率为3.9%(2/51), 低于对照组的16.7%(8/48), 差异有统计学意义(χ²=4.423, P=0.035)。实验组手术物品准备、手术配合、机器人设备准备评分及总分均高于对照组，差异有统计学意义(P < 0.01)。
结论天玑骨科机器人辅助股骨颈空心钉内固定标准化护理能规范手术室护理人员的护理行为，提高手术效率。

Abstract:
Objective To observe the application effect of standardized nursing in internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot.
Methods A total of 48 patients with femoral neck fracture from January 2020 to December 2021 were selected as control group, and 51 patients with femoral neck fracture from January to June 2022 were selected as experimental group. Completion time of surgery, accident incidence rate of intraoperative robot use and doctor′s satisfaction degree were compared between two groups.
Results The average operation time of the experimental group was (75.67±6.88) minutes, which was shorter than (98.83±7.39) minutes of the control group (t=16.159, P < 0.001). The accident incidence rate of robot use in the experimental group was 3.9% (2/51), which was significantly lower than the 16.7% (8/48) in the control group (χ²=4.423, P=0.035). In the experimental group, scores of surgical item preparation, surgical coordination and robot equipment preparation as well as total score were significantly higher than those in the control group (P < 0.01).
Conclusion Standardized nursing for internal fixation of femoral neck with cannulated screws assisted by Tianji orthopedic robot can standardize the nursing behavior of nurses in operation room and improve surgical efficiency.

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