The application of Tianji Orthopedic robot-assisted perioperative nursing for femoral neck cannulated screw internal fixation
天玑骨科机器人辅助治疗股骨颈空心钉内固定围术期护理的应用

摘要

目的 探讨天玑骨科机器人辅助治疗股骨颈空心钉内固定围术期护理的应用效果。方法 选取60例2024年1月至2025年1月于我院接受治疗的股骨颈骨折患者，按随机数字表法，以每组30例进行均分，分别纳入分为观察组与对照组。常规围术期护理在对照组开展，基于天玑骨科机器人辅助治疗的围术期护理方案在观察组开展。两组区别护理效果总结，对比两组手术相关指标、并发症发生率、患者满意度及康复效果。结果 手术时间、术中出血量、术中透视次数各项手术指标，观察组（70.5±10.2）min、（50.3±15.6）ml、（10.5±3.2）次均少于对照组（95.8±15.6）min、（85.6±20.3）ml、（18.6±4.5）次；观察组3（10.0%）并发症发生率更低于对照组8（26.7%）；患者满意度观察组29（96.7%）高于对照组24（80.0%）；Harris髋关节功能评分术后3个月及术后6个月观察组（75.6±8.5）、（85.2±7.8）更高于对照组（65.3±9.2）、（75.8±8.4）；两组统计数据体现明显差异性（P<0.05）。结论 基于天玑骨科机器人辅助治疗的围术期护理可优化手术进程，降低并发症风险，提升患者满意度与康复效果，值得临床推广。

Abstract

Objective To explore the application effect of Tianji Orthopedic robot-assisted perioperative nursing for femoral neck cannulated screw internal fixation.
Methods Sixty patients with femoral neck fractures who were treated in our hospital from January 2024 to January 2025 were selected. According to the random number table method, 30 cases in each group were evenly divided and included in the observation group and the control group respectively. Conventional perioperative care was carried out in the control group, while the perioperative care plan based on the Tianji orthopedic robot-assisted treatment was implemented in the observation group. Summary of the nursing effects of the two groups, comparing the surgery-related indicators, incidence of complications, patient satisfaction and rehabilitation effects of the two groups.
Results The surgical indicators such as operation time, intraoperative blood loss, and the number of intraoperative fluoroscopy in the observation group (70.5±10.2) min, (50.3±15.6) ml, and (10.5±3.2) times were all less than those in the control group (95.8±15.6) min, (85.6±20.3) ml, and (18.6±4.5) times. The incidence of complications in observation group 3 (10.0%) was lower than that in control group 8 (26.7%). The patient satisfaction rate in the observation group was 29 (96.7%), which was higher than that in the control group 24 (80.0%). The Harris hip function scores of the observation group at 3 months and 6 months after the operation (75.6±8.5) and (85.2±7.8) were higher than those of the control group (65.3±9.2) and (75.8±8.4). The two groups of statistical data showed significant differences (P<0.05).
Conclusion   Perioperative nursing based on Tianji orthopedic robot-assisted therapy can optimize the surgical process, reduce the risk of complications, improve patient satisfaction and rehabilitation effects, and is worthy of clinical promotion.