路徑導(dǎo)向性護(hù)理與體溫管理策略在機(jī)器人輔助腹腔鏡下根治性前列腺切除術(shù)患者中的應(yīng)用

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中圖分類號(hào) R473.73 文獻(xiàn)標(biāo)識(shí)碼 A文章編號(hào) 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）是指發(fā)生在前列腺的上皮性惡性腫瘤，是男性泌尿生殖系統(tǒng)最常見的惡性腫瘤之一。（剩余9170字）