加速康复外科理念下无缝隙护理方案在机器人辅助经椎间孔腰椎椎间融合术中的应用

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中图分类号 R687.3 R473.6 文献标识码A 文章编号 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

随着医疗技术进步，机器人辅助手术在脊柱外科领域应用越来越广。（剩余7151字）