MAKO骨科机器人辅助全髋关节置换术的围术期护理  

Perioperative Nursing of Robotic Assisted Total Hip Arthroplasty Using the MAKO Platform

作　　者：朱金明 翁晓蓓[1] 李昕华[1] ZHU Jinming;WENG Xiaobei;LI Xinhua(Sports Medicine and Adult Reconstructive Surgery,Division 10C,Department of Orthopaedic,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院骨科10C病区运动医学与成人重建外科,江苏南京210008

出　　处：《中国卫生标准管理》2021年第2期158-162,共5页China Health Standard Management

摘　　要：目的探讨MAKO骨科机器人辅助全髋关节置换术围术期的护理方法及特点。方法回顾性分析2018年4月—2019年3月期间,我科进行的19例MAKO骨科机器人辅助全髋关节置换术的患者术前基本资料、手术信息及术后康复情况,分析总结MAKO骨科机器人辅助全髋关节置换术患者围术期的护理要点。结果17位患者共行19例MAKO骨科机器人辅助全髋关节置换,其中2例男性患者均先行右全髋关节置换,术后1月再次入院行左全髋关节置换。患者平均年龄(44.76±11.59)岁,住院天数为6~15天,平均(10.05±2.86)天。其中术前2~7天,平均(3.95±1.68)天,术后为3~8天,平均(5.21±1.69)天。术后无神经或大血管损伤、髋关节僵硬、感染、脱位、假体松动、血栓栓塞等并发症,预后良好。结论MAKO骨科机器人辅助全髋关节置换术具有精准、微创的优势,是实现精准医疗的重要手段。运用加速康复外科护理方法可以充分发挥MAKO特点,促进患者快速康复。Objective To investigation the perioperative nursing methods and characteristics of MAKO orthopedic robot-assisted total hip arthroplasty.Methods Retrospectively analyzed the 19 cases with MAKO orthopedic robot-assisted total hip replacement surgery performed in our department during April 2018 to March 2019.Summering the key points of perioperative nursing for these patients.Results A total of 19 cases underwent MAKO orthopedic robotic-assisted total hip arthroplasty in 17 patients.Two male patients underwent right total hip arthroplasty first,and were admitted to the hospital for left total hip arthroplasty one month after the first surgery.The average age of patients was(44.76±11.59)years,the length of hospitalization ranged from 6 to 15 days with an average of(10.05±2.86)days,of which 2~7 days[(3.95±1.68)d]before surgery and 3~8 days[(5.21±1.69)d]after surgery.No morbidity and mortality for these 17 patients.Conclusion MAKO orthopedic robot-assisted total hip arthroplasty has the advantages of precision and minimally invasiveness,and it is an important means to achieve precision medicine.The use of accelerated rehabilitation surgical nursing methods can give full play to the characteristics of MAKO and promote rapid recovery of patients.

关 键 词：精准医学 微创关节外科 MAKO骨科机器人 全髋关节置换术 加速康复外科 围术期护理 

分 类 号：R473[医药卫生—护理学]