多學科協(xié)作加速康復護理對機器人輔助強直性脊柱炎全髖關節(jié)置換術患者的影響

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中圖分類號 R593.23 R687.3 文獻標識碼 A 文章編號 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

強直性脊柱炎（AnkylosingSpondylitis，AS）是一種累及脊柱、骶髂等關節(jié)的慢性炎癥性疾病，主要表現為下背部或臀部疼痛、僵直等癥狀，給患者正常生活帶來了極大困擾，嚴重者還可能致殘[1]。（剩余8931字）