目的：分析术中体位护理联合手术室低体温防护护理对机器人辅助根治性膀胱切除原位回肠新膀胱 术（RARC-OIN）患者舒适度及术后并发症的改善效果。方法：选取行 RARC-OIN 且完成 1 年随访的患者进行回顾 性研究。选择 2021 年 6 月—2022 年 6 月接受常规护理的 60 例患者作为对照组，选择 2022 年 7 月—2023 年 7 月接 受术中体位护理联合手术室低体温防护护理的 60 例患者作为观察组，两组均干预至患者出院。比较两组患者围手 术期指标、不同时点肛温、心率（HR）、平均动脉压（MAP）、术后并发症及复发情况。结果：观察组手术时间、 术后住院时间短于对照组，术中出血量低于对照组；患者术中肛温相较术前逐步降低，于术毕升高，观察组各时点 肛温高于对照组；术中 1 h、3 h 时 HR、MAP 相较术前逐步升高，并于术中 6 h、术毕时逐步下降，观察组各时点 HR、MAP 低于对照组；观察组舒适率及舒适度评分均高于对照组；两组并发症发生率及复发率比较，差异无统计 学意义。结论：术中体位护理联合手术室低体温防护护理能够有效稳定RARC-OIN患者术中生命体征，保持体温稳定， 提升舒适度，缩短住院时间，促进术后康复。

Objective: To analyze the effect of intraoperative body position nursing combined with hypothermia protection in the operating room on the comfort and postoperative complications of patients undergoing Robot-assisted Radical Cystectomy with Orthotopic Ileal Neobladder (RARC-OIN). Methods: Patients who underwent RARC-OIN and completed 1-year follow-up were selected for retrospective study. 60 patients who were received routine nursing from June 2021 to June 2022 were selected as the control group, and 60 patients received intraoperative positioning nursing combined with hypothermia protection in operating room from July 2022 to July 2023 were selected as the observation group. Both groups were intervened until the patients were discharged from hospital. The perioperative indexes, anal temperature, heart rate (HR), mean arterial pressure (MAP) at different time points, postoperative complications and recurrence rate were compared between the two groups. Results: The operative time and postoperative hospitalization stay of the observation group were shorter than those of the control group, and the intraoperative blood loss was lower than that of the control group. The anal temperature of patients decreased gradually during the operation compared with that before the operation, and increased at the end of the operation. The anal temperature of the observation group was higher than that of the control group at each time. HR and MAP at 1 h and 3 h during operation were gradually increased compared with those before operation, and gradually decreased at 6 h during operation and the end of operation. HR and MAP in the observation group were lower than those in the control group at each time point. The comfort rate and comfort score of the observation group were higher than those of the control group. There was no difference in the incidence of complications and recurrence rate between the two groups. Conclusion: Intraoperative positioning nursing combined with hypothermia protection in the operating room can effectively stabilize the vital signs of RARC-OIN patients during operation, maintain stable anal temperature, improve comfort rate, shorten hospitalization stay and promote postoperative rehabilitation.

收稿日期：2023-11-06  录用日期：2024-01-16 

Received Date: 2023-11-06  Accepted Date: 2024-01-16 

基金项目：陕西省重点研发计划项目（S2022-YF-025） 

Foundation Item: Key R & D Program of Shaanxi Province (S2022-YF-025) 

通讯作者：杜白茹，Email：YYY775583@163.com 

Corresponding Author: DU Bairu, Email: YYY775583@163.com 

引用格式：袁蓓，边东梅，闫沛，等 . 术中体位护理联合手术室低体温防护对机器人辅助根治性膀胱切除原位回肠新膀胱术患者 舒适度及术后并发症的效果比较 [J]. 机器人外科学杂志（中英文），2024，5（2）：206-212. 

Citation: YUAN B, BIAN D M, YAN P, et al. Effect of intraoperative positioning nursing combined with hypothermia protection in operating room on the comfort and postoperative complications of patients undergoing robot-assisted laparoscopic total cystectomy and orthotopic ileal neobladder[J]. Chinese Journal of Robotic Surgery, 2024, 5(2): 206-212.

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