多学科协作加速康复护理对机器人辅助强直性脊柱炎全髋关节置换术患者的影响

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中图分类号 R593.23 R687.3 文献标识码 A 文章编号 2096-7721（2025）04-0572-0

Effect of multidisciplinary collaborative enhanced recovery nursing on patients undergoing robot-assisted total hip arthroplasty for ankylosing spondylitis

WANG Yifan，LI Yunlong， LIU Siqi （DepartentofRheumatologyandImmunology，BeijingJishuitanHospital，CapitalMedicalUiversityBeijing12，Cina）

AbstractObectiveTnvestigatethefetofultidscipiarycllboraieehanedecoeryursingonpostoperatiververyn patientsundergngrobot-asistedtotaliprthroplasty （TH）forankylsngspondylis.Metod：106patientsoundentrobotassistedTHAforankylosingspondylitisatBeijingJishuitanHospitalfromJanuary2O22toJanuaryO23wereselectedanddividednto the control group （ n= 53，receiving routine nursing）and the study group （ n 53，receiving multidisciplinary collaborative enhanced recovery nursing）.Peopatieidatos，ifuctiooorcinlvels，tieos，uaityflifedoaite werecomparedbetwenthetwogroups.Results：Comparedwiththecontrol group，thestudygroupshowedreduced intraoperativeblood loss，less operative time，shorter length of hospital stay，and earlier time to first ambulation （ P <0.05）.After nursing intervention， the two groupsbothshowedincreasedscoresonteHarrsHipScore，simplifiedFug-MeyerAssessment，and36-ItemShortFHealthSurvey （SF-36）， while higher scores were found in the study group than those in the control group （ P <0.05）. Scores of Visual Analog Scale （VAS）， Self-ratingAnxietySale（SS），ndSelfratingDepressonScale（D）weredecreaedinetogoupsafterinteetiowihloer scores in the study group （ P<0 . 0 5 ） . The study group had a lower total complication rate than the control group （ P <0.05）. Conclusion： Forpatientsundergngrobot-asstedHAforakylosingspondlitis，ultidsiplinarycollaborativeehancedrecovrynursingcan acceleratepostoperatiecoveryimproveipjandotorfuct，aleviateaindgatieotios，ancequalityfle reduce incidence of complications.

KeyWordsAnkylosingSpondylitis；TotalHpArthoplasty；Robot-asistedSurgery；MultidiscilinaryColaboratio；Aeated Recovery Nursing

强直性脊柱炎（AnkylosingSpondylitis，AS）是一种累及脊柱、骶髂等关节的慢性炎症性疾病，主要表现为下背部或臀部疼痛、僵直等症状，给患者正常生活带来了极大困扰，严重者还可能致残[1]。（剩余8931字）