护理机器人辅助分析胃癌术后导尿管拔除时间对患者加速康复的影响  

Nursing robot-assisted analysis on the effect of catheter removal in patients’accelerated recovery after gastric cancer surgery

作　　者：范思雨 冯芳茗[2] 孙梦晨 FAN Siyu;FENG Fangming;SUN Mengchen(Tongji University School of Medicine,Shanghai 200092,China;VIP Medical Department,East Hospital Affiliated to Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属东方医院特诊部,上海200092

出　　处：《机器人外科学杂志（中英文）》2024年第4期676-680,共5页Chinese Journal of Robotic Surgery

基　　金：上海现代护理职业教育集团2023年专项课题项目(hlzjzx202308)。

摘　　要：目的:护理机器人辅助监测患者指标,探讨导尿管拔除时间对胃癌患者术后加速康复的影响。方法:选取2022年2月—2023年7月在上海市东方医院胃肠病加速康复外科病房住院的150例胃癌手术患者,随机分为术后立即拔管组、术后12 h拔管组、术后24 h拔管组,每组50例。所有患者均使用护理机器人进行实时状态和用药监测。比较三组患者的基线资料、围手术期指标、排尿情况、苏醒时间等数据。结果:三组患者基线资料、围手术期指标、排尿情况、苏醒时间比较,差异无统计学意义。术后直接拔管组首次下床时间、首次通气时间短于术后12 h拔管组及术后24 h拔管组。患者在使用戊乙奎醚及进行远端胃部分切除术时苏醒时间更短。结论:三组患者临床指标和康复速度基本一致,但术后立即拔管可在一定程度上缩短患者首次下床活动和通气时间。护理机器人能及时监测患者身体指标及用药情况,提高研究效率,对患者的加速康复有积极作用。Objective:To investigate the effect of catheter removal time on postoperative accelerated recovery of gastric cancer patients using nursing robot to monitor patient indicators.Methods:150 patients underwent gastric cancer surgery who were hospitalized in the Accelerated Rehabilitation Surgical Ward of Gastrointestinal Disease in Shanghai East Hospital from February 2022 to July 2023 were selected and randomly divided into the immediate postoperative catheter removal group,12-hour postoperative catheter removal group,and 24-hour postoperative catheter removal group,with 50 cases in each group.All patients were monitored with a nursing robot for real-time status and medication.The baseline data,perioperative indicators,urination,and awakening time of patients in the three groups were compared.Results:Comparison of baseline data,perioperative indicators,urination,and awakening time of patients in the three groups showed no statistically significant differences.The first time to get out of bed and the first ventilation time of the immediate postoperative catheter removal group were shorter than those of the 12-hour and 24-hour postoperative catheter removal groups.Patients’awakening time was shorter when using pentylenetetrazol and performing distal partial gastrectomy.Conclusion:The clinical indexes and recovery speed of patients in the three groups are basically the same,but immediate postoperative catheter removal can shorten the time of patients’first time out of bed and ventilation to a certain extent.Nursing robot can monitor patients’body indexes and medication in time,improve the research efficiency,and positively affect patients’accelerated recovery.

关 键 词：护理机器人 胃癌 导尿管:加速康复 

分 类 号：R47[医药卫生—护理学] TP274[医药卫生—临床医学]