| 周 瑜,王小雨,徐 黎,刘晓杰,宿明艳.全身麻醉下达芬奇机器人手术在老年腹部手术中应用观察[J].,2022,(2):254-258 |
| 全身麻醉下达芬奇机器人手术在老年腹部手术中应用观察 |
| Application of General Anesthesia and Da Vinci Robotic Surgery in Elderly Abdominal Surgery |
| 投稿时间：2021-04-06 修订日期：2021-04-30 |
| DOI：10.13241/j.cnki.pmb.2022.02.010 |
| 中文关键词: 全身麻醉 达芬奇机器人 老年患者 腹部手术 |
| 英文关键词: General anesthesia Da Vinci robot Elderly patients Abdominal surgery |
| 基金项目:国家自然科学基金项目（81870871） |
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| 中文摘要: |
| 摘要 目的：探究全身麻醉下达芬奇机器人在老年腹部手术中的应用效果。方法：选择2019年1月至2020年12月于我院接受腹部手术治疗的200例老年患者，将其按照术式分为研究组（100例）与对照组（100例），研究组选择达芬奇机器人开展手术，对照组选择常规腹腔镜手术，对比两组患者的手术时间、术中出血量、中转开腹率、术后排气时间、总住院费用、住院时间、术后患者自我效能及抑郁情况、术后疼痛度情况以及术后并发症发生情况。结果：（1）比较显示研究组患者的术中出血量、中转开腹率、术后排气时间均低于对照组（P<0.05），但其手术时间、总住院费用高于对照组（P<0.05）；（2）术后研究组患者自我效能得分高于对照组，抑郁得分低于对照组（P<0.05）；（3）术后24 h及48 h研究组疼痛得分均低于对照组（P<0.05）；（4）研究组患者术后各类并发症发生率为4.00 %，明显低于对照组的12.00 %（P<0.05）。结论：全身麻醉下应用达芬奇机器人对老年患者实施腹部手术可行性较好，能够显著减小对患者的创伤，加快其术后康复，同时还能够降低其术后不良情绪和并发症发生，提高其自我效能，值得临床推广应用。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the application effect of Da Vinci robot under general anesthesia in elderly abdominal surgery. Methods: 200 elderly patients who underwent abdominal surgery in our hospital from January 2019 to December 2020 were selected, and they were divided into study group (100 cases) and control group (100 cases) according to the differences in surgical procedures. The research group chose Da Vinci robot to perform surgery, and the control group chose conventional laparoscopic surgery. The operation time, intraoperative blood loss, conversion rate of laparotomy, postoperative exhaust time, total hospitalization cost, hospitalization time, and length of stay were compared between the two groups of patients. Postoperative self-efficacy and depression, postoperative pain, and postoperative complications. Results: (1) The comparison showed that the intraoperative blood loss, the conversion to laparotomy rate, and postoperative exhaust time of the study group were lower than those of the control group(P<0.05), but the operation time and total hospitalization expenses were higher than those of the control group(P<0.05). (2) Postoperative self-efficacy scores in the study group were higher than those in the control group, and depression scores were lower than those in the control group (P<0.05). (3) Pain scores in the study group were lower than those in the control group at 24h and 48h after surgery (P<0.05). (4) The incidence of postoperative complications in the study group was 4.00 %, which was significantly lower than 12.00 % in the control group (P<0.05). Conclusion: The application of Da Vinci robot under general anesthesia to perform abdominal surgery on elderly patients is feasible, which can significantly reduce the trauma to the patient, speed up their postoperative recovery, and at the same time reduce their postoperative bad mood and complications. Improving its self-efficacy is worthy of clinical application. |
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