改良截石位在机器人辅助直肠癌手术中摆放流程的制定及应用研究  

Patient positioning process formulation and application of modified lithotomy position in robot-assisted rectal cancer surgery

作　　者：黄雅 楼征 郑杭丽 周慧 丁瑞芳 HUANG Ya;LOU Zheng;ZHENG Hangli;ZHOU Hui;DING Ruifang(Department of Anesthesiology,the First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院麻醉科,上海200433

出　　处：《机器人外科学杂志(中英文)》2025年第3期471-474,480,共5页Chinese Journal of Robotic Surgery

摘　　要：目的:探讨改良截石位在机器人辅助直肠癌手术中摆放流程的制定及应用。方法:选取2024年1月—2024年5月海军军医大学第一附属医院收治的100例行机器人辅助直肠癌手术患者,并按照随机数字表法,将所有患者分为观察组(改良截石位,n=50)和对照组(传统截石位,n=50)。比较两组患者的体位摆放时间、体位恢复时间、下肢疼痛情况、压力性损伤发生情况及手术医生、麻醉医生、护士对手术体位满意度情况。结果:两组患者一般资料比较,差异无统计学意义(P>0.05),与对照组相比,观察组的体位摆放时间和体位恢复时间更短(P<0.05);观察组下肢疼痛度评分低于对照组(P<0.05);观察组压力性损伤发生率低于对照组(P<0.05)。观察组手术医生、麻醉医生、护士对于手术体位的满意度明显高于对照组(P<0.05)。结论:多学科团队协同制定的机器人辅助直肠癌手术改良截石位可有效提升该类手术的体位安全,同时增加患者手术体位舒适度,减少体位相关并发症的发生,并提高手术医生、麻醉医生、手术室护士的工作效率和满意度。Objective:To explore the patient positioning process formulation and application of modified lithotomy position in robotassisted rectal cancer surgery.Methods:100 patients who underwent robot-assisted rectal cancer surgery in the First Affiliated Hospital of Naval Medical University from January to May 2024 were selected.They were divided into the observation group(modified lithotomy position,n=50)and the control group(traditional lithotomy position,n=50)using to the random number table method.The positioning time,posture recovery time,lower extremity pain,incidence of pressure injury,and satisfaction of surgeons,anesthesiologists,and nurses with surgical position were compared between the two groups of patients.Results:There was no significant difference in general data between the two groups of patients(P>0.05).Compared with the control group,the observation group had shorter positioning and posture recovery time(P<0.05),lower limb pain score and incidence of pressure injury(P<0.05),and higher satisfaction degree of surgeons,anesthesiologists,and nurses with the surgical position(P<0.05).Conclusion:Developed in collaboration with a multidisciplinary team,the modified lithotomy position for robot-assisted rectal cancer surgery can effectively improve the positioning safety of this type of surgery.It also increases the patient’s comfort in the surgical position,reduces the incidence of position-related complications,and improves the efficiency and satisfaction of surgeons,anesthesiologists,and operating room nurses.

关 键 词：改良截石位 机器人辅助手术 直肠癌手术 摆放流程 

分 类 号：R473.73[医药卫生—护理学]