加速康復外科理念下無縫隙護理方案在機器人輔助經椎間孔腰椎椎間融合術中的應用

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中圖分類號 R687.3 R473.6 文獻標識碼A 文章編號 2096-7721（2025）04-0567-05

Application of seamless nursing protocol under ERAS principles in robot-assistedtransforaminal lumbarinterbodyfusion

ZHANG Min， GUO Jia （Department of Orthopedics，BaojiCentral Hospital，Baoji 721Oo8，China）

AbstractObjective：Toevaluate theapplicationefectof seamlessnursing protocolunder theEnhancedRecoveryafterSurgery （ERAS）conceptinatintsunderggob-asistedtrasforaiallumbarinteodyfusion （T）.Methos：Aretrospectialsis wasconductedon150patientswhounderwentrobot-asistedTLIFatBaoji CentralHospitalfromMarch2O23toApril2024.Theywere randomly divided into thecontrol group （n=75，receiving conventional nursing care）and the intervention group （ n = 7 5 ，receiving ERASbasedseamlessnursing）usingarandomnumbertable.Operativetime，intraoperativebloodloss，fluidinfusionvolume，timetofist ambulation，gthofspialaytopaitesityostealsdteeolias functionaloutcomes，andqualityoflife.werecomparedbetweenthetwogroupsofpatients.Results：Comparedwiththecontrol group， theintervention group showed significantlyshortertime to first ambulationand reduced length of hospital stay （ P<0 . 0 5 ） . The intervention group showed significantly lower Numerical Rating Scale （NRS）scores during 12-72 hours postoperatively （ P<0 . 0 5 ） ， reduced negative emotion scores at postoperative day 3 （ P <0.05）， improved Japanese Orthopaedic Association （JOA） scores at 3O-day follow-up （ P<0 . 0 5 ） and better psychological，physical，and social relationship status compared to the control group （ P<0 . 0 5 ） .Conclusion： For patients undergoigrobot-asstedTIF，theERAS-basedseamlesursingprotocolcananceeabilitationfencyromotefuioal recovery，alleviate postoperative pain，and improve emotional well-being and quality of life.

Key WordsAcceleratedRecoveryafterSurgery；Robot-asistedSurgery；TransforamialLumbar InterbodyFusion；Seamless Nursing

隨著醫(yī)療技術進步，機器人輔助手術在脊柱外科領域應用越來越廣。（剩余7151字）