ERAS理念的延续护理配合平衡障碍康复机器人在下肢骨折患者中的应用  

Application of ERAS-based continuing nursing care combined with the balance disorder rehabilitation robot in patients with lower extremity fractures

作　　者：刘丹 曹晓菲 程媛媛 张靖 LIU Dan;CAO Xiaofei;CHENG Yuanyuan;ZHANG Jing(Department of Orthopedics,the Second Affiliated Hospital of Air Force Military Medical University,Xi’an 710038,China)

机构地区：[1]空军军医大学第二附属医院骨科,陕西西安710038

出　　处：《机器人外科学杂志(中英文)》2025年第3期487-492,共6页Chinese Journal of Robotic Surgery

基　　金：陕西省重点研发计划项目(2022SF-074)。

摘　　要：目的:探讨基于加速康复外科(ERAS)理念的延续护理配合平衡障碍康复机器人在下肢骨折患者中的运用。方法:本研究选取2020年3月—2023年3月空军军医大学第二附属医院收治的102例下肢骨折患者作为研究对象,按照随机数字表法分为试验组和对照组,每组51例。对照组采用常规护理模式干预,试验组采用基于ERAS理念的延续护理配合平衡障碍康复机器人干预。比较两组患者的手术指标、焦虑抑郁评分、创伤严重程度及预后、术后各时间点疼痛评分以及并发症发生情况。结果:试验组患者术中出血量、术中输血例数、病灶愈合时间及总住院时间显著低于对照组(P<0.05)。干预后,两组患者焦虑自评量表(SAS)评分,抑郁自评量表(SDS)评分,创伤严重程度评分(ISS),急性生理学及慢性健康状况评分系统Ⅱ(APACHEⅡ)评分,术后2 h、6 h、12 h、24 h视觉模拟量表(VAS)评分均低于干预前,且试验组显著低于对照组(P<0.05)。试验组并发症总发生率显著低于对照组(P<0.05)。结论:基于ERAS理念的延续护理配合平衡障碍康复机器人在下肢骨折患者中的运用效果显著。Objective:To investigate the efficacy of enhanced recovery after surgery(ERAS)-based continuing nursing care combined with the balance disorder rehabilitation robot in the management of lower limb fracture patients.Methods:102 lower limb fracture patients who were treated in the Second Affiliated Hospital of Air Force Medical University from March 2020 to March 2023 were enrolled.They were randomly divided into the experimental group(n=51)and the control group(n=51)using a random number table.The control group received routine nursing intervention,while the experimental group received ERAS-based continuing nursing care combined with the balance disorder rehabilitation robot intervention.Surgical indicators,self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores,injury severity score(ISS),acute physiology and chronic health evaluationⅡ(APACHEⅡ)score,visual analog scale(VAS)at 2 h,6 h,12 h and 24 h,and complication rates were compared between the two groups.Results:The experimental group showed significantly lower intraoperative blood loss,fewer intraoperative blood transfusions,shorter fracture healing time,and reduced total hospitalization duration compared to the control group(P<0.05).After intervention,both groups showed decreased SAS,SDS,ISS,APACHE II,and VAS scores at all postoperative timepoints compared to those before intervention(P<0.05),with the experimental group demonstrating superior reductions(P<0.05).The total incidence rate of complications in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion:ERAS-based continuing nursing care combined with the balance disorder rehabilitation robot can significantly improve clinical outcomes in lower limb fracture patients with reduced perioperative risks,enhanced recovery,and favorable safety.

关 键 词：加速康复外科 平衡障碍康复机器人 下肢骨折 延续护理 

分 类 号：R683.42[医药卫生—骨科学]