改良体位管理在达芬奇机器人辅助宫颈癌根治术中的应用  

Application of Improved Position Management in Da Vinci Robot Assisted Cervical Cancer Radical Surgery

作　　者：谢云霞[1] XIE Yunxia(Department of Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院手术部,河南郑州450052

出　　处：《河南医学研究》2025年第5期937-940,共4页Henan Medical Research

摘　　要：目的探讨在达芬奇机器人辅助宫颈癌根治术中应用改良体位管理的临床效果。方法回顾性分析2021年1月至2023年8月郑州大学第一附属医院完成达芬奇机器人辅助宫颈癌根治术治疗的80例宫颈癌患者资料,所有患者均接受常规的围手术期护理,其中40例接受传统手术体位管理的患者纳入对照组,40例接受改良体位管理的患者纳入观察组。比较两组术中压疮发生情况、手术相关指标、术后身体感受舒适情况。结果观察组术中压疮发生率低于对照组,差异有统计学意义(P<0.05)。观察组体位安置时间、手术时长、下床活动时间均短于对照组,差异有统计学意义(P<0.05)。观察组总舒适率高于对照组,差异有统计学意义(P<0.05)。结论达芬奇机器人辅助宫颈癌根治术中应用改良体位管理,可在照顾患者舒适度的同时,减少术中压疮的发生,实现术后早期下床活动。Objective To explore the clinical effect of using improved position management in Da Vinci robot assisted cervical cancer radical surgery.Methods A retrospective analysis was conducted on the data of 80 cervical cancer patients who completed Da Vinci robot assisted radical cervical cancer surgery in the First Affiliated Hospital of Zhengzhou University from January 2021 to August 2023.All patients received routine perioperative care,with 40 patients receiving traditional surgical position management included in the control group,and 40 patients receiving improved position management included in the observation group.The incidence of intraoperative pressure sore,operation-related indicators,and postoperative physical comfort were compared between the two groups.Results The incidence of intraoperative pressure sore in the observation group was lower than that in the control group,with a statistical significant difference(P<0.05).The observation group had shorter positioning time,surgical duration,and bed movement time than the control group,with a statistical significant difference(P<0.05).The total comfort rate of the observation group was higher than that of the control group,with a statistical significant difference(P<0.05).Conclusion The application of improved position management in Da Vinci robot assisted cervical cancer radical surgery can reduce the occurrence of intraoperative pressure sore while taking care of patient comfort,achieving early postoperative mobilization.

关 键 词：宫颈癌 根治术 达芬奇机器人 体位管理 压疮 

分 类 号：R713.44[医药卫生—妇产科学]