新型机器人辅助穿刺系统在CT引导下肺穿刺活检术的应用研究及护理配合  

A new robot-assisted puncture system used for CT-guided lung puncture biopsy:its application research and nursing cooperation

作　　者：张峥 郁晓路 李飞 康健 唐晓佳 陆一骏[1] ZHANG Zheng;YU Xiaolu;Li Fei;Kang Jian;Tang Xiaojia;LU Yijun(Department of Radiology,Affiliated Shanghai Municipal Pulmonary Hospital,Tongji University,Shanghai 200433,China)

机构地区：[1]同济大学附属上海市肺科医院放射科,上海2004333 [2]海军军医大学护理系

出　　处：《介入放射学杂志》2024年第5期549-553,共5页Journal of Interventional Radiology

基　　金：同济大学护理学院(筹)学科建设三年行动计划教改课题(JS2210306);上海市肺科医院科研课题(HL202207)。

摘　　要：目的探讨新型机器人辅助穿刺系统RC120在CT引导下肺穿刺活检术的应用效果及护理配合,以期为新型机器人辅助穿刺系统的推广应用提供现实依据。方法2022年1至6月,采用随机抽样法选择上海市肺科医院行机器人辅助穿刺的患者29例为观察组,同期同法选择采用传统经CT引导下人工操作穿刺的29例患者为对照组。对照组实施传统护理,观察组在传统护理的基础上采取针对性护理,比较两组穿刺患者的定位精度、护理满意度及并发症发生率。结果观察组患者定位精度为5.0 mm(3.6~6.2 mm),优于对照组的6.4 mm(4.0~8.4 mm),差异有统计学意义(Z=-2.179,P=0.034)。观察组患者的满意度为(91.1±1.6)分,明显高于对照组的(82.2±1.7)分,差异有统计学意义(t=21.047,P<0.001)。观察组中有2例患者发生并发症,并发症发生率为6.9%;而对照组有8例患者发生并发症,并发症发生率为27.6%;差异有统计学意义(χ^(2)=4.350,P=0.037)。结论针对性护理能够减少辅助穿刺系统RC120在CT引导下进行肺穿刺引起的并发症发生风险,提高肺穿刺定位精度,提升患者护理满意度,值得推广。Objective To explore the clinical effect and nursing cooperation of the new robot-assisted puncture system RC120 in CT-guided lung puncture biopsy,so as to provide practical basis for the promotion and utilization of the new robot-assisted puncture system.Methods Using random sampling method,a total of29 patients,who received robot-assisted lung puncture at the Shanghai Municipal Pulmonary Hospital of China between January and June of 2022,were collected as the study group,while other 29 patients,who received traditional manual lung puncture under CT guidance in the same period,were collected as the control group.For the patients of the control group traditional nursing was implemented,while for the patients of the study group on the basis of traditional nursing the additional targeted nursing care was carried out.The accuracy of puncture localization,satisfaction with the nursing care,and incidence of complications were compared between the two groups.Results The accuracy of puncture localization in the study group was 5.0 mm(3.6-6.2 mm),which was better than 6.4 mm(4.0-8.4 mm)in the control group,and the difference was statistically significant(Z=-2.179,P=0.034).The patient satisfaction score in the study group was(91.1±1.6)points,which was significantly higher than(82.2±1.7)points in control group,and the difference was statistically significant(t=21.047,P<0.001).In the study group 2 patients developed complications with an incidence of 6.9%,while in the control group 8 patients developed complications with an incidence of 27.6%,and the difference was statistically significant(χ^(2)=4.350,P=0.037).Conclusion The implementation of targeted nursing care can reduce the risk of complications caused by CT-guided lung puncture with RC120 auxiliary puncture system,improve the accuracy of puncture localization,and improve patient satisfaction with nursing care,therefore,the targeted nursing care deserves promotion in clinical practice.

关 键 词：CT引导下肺穿刺 机器人辅助穿刺系统 定位精度 护理满意度 肺穿刺并发症 护理 

分 类 号：R473.6[医药卫生—护理学]