路径导向性护理与体温管理策略在机器人辅助腹腔镜下根治性前列腺切除术患者中的应用

打开文本图片集

中图分类号 R473.73 文献标识码 A文章编号 2096-7721（2025）04-0686-05

Application of pathway-oriented care and body temperature management strategies in patients undergoing robot-assisted laparoscopic radical prostatectomy

DU Dongyan， WU Dongjuan， ZHANG Mengjiao （Departmentof Urology，theFirstAfiliated HospitalofAirForce Medical University，Xi’an71Oo32，China）

AbstractObjective：Toexplore thenursingefcacyofpathway-orientedcareandbodytemperature managementstrategiesinpatints undergoig robot-assistedlaparoscopicradicalprostatectomy （RALRP）.Methods：102 patientswhounderwentRALRPattheFirst AflatedHospitalofAirForce MedicalUniversiyfromJulyO2toJune2O23wereselected.Teyweredividedintothestudygroup 0 n 51，pathwarieedcaeandbdytemperatremaagementstategis）andtecotrolgoup（=5，utineusingitertiousing arandomumbertable.Itraoperativebodytemperature，pysiologicalstressesponses，andcoaglationfunctionwereomparedetwen thetwogroupsofptients.Results：ComparedwithTO（uponenteringtheperatingrom），itraoperativeodytemperaturedad inboth groupsatT1（1O minafter thestartofsurgery），T2（3O min after thestartofsurgery），andT3 （endof surgery）（ P <0.05）.However， the study group showed significantly higher body temperatures than the control group at T1，T2，and T3 （ P <0.05）.After intervention， levelsof norepiephine （NE）ortisol （or），lasmaeninactivity（RA），nddopamie（DA）icreasedinothroupsoedt thosebefore intervention （ P<0 . 0 5 ） ，but these levels were significantly lower in the study group than those in the control group （ P <0.05）. Similarlyctia）o） in the two groups after intervention （ P<0 . 0 5 ） ，yet these values were lower in the study group than those in the control group P <0.05）. Conclusion：Theapplicationof pathway-orientedcareandbodytemperature management strategiesinRALRP patientscanbetter maintain body temperature，alleviate physiological stress responses，and improve coagulation function.

Key wordsRobot-assisted LaparoscopicRadical Prostatectomy；Pathway-oriented Care；Temperature Management Strategy； Physiological Stress；Coagulation Function

前列腺癌（ProstaticCarcinoma，PCa）是指发生在前列腺的上皮性恶性肿瘤，是男性泌尿生殖系统最常见的恶性肿瘤之一。（剩余9170字）