目的：探究多模式镇痛管理配合加速康复外科（ERAS）护理对机器人辅助根治性膀胱切除术（RARC） 患者术后镇痛及术后康复的影响。方法：前瞻性选取 2020 年 5 月—2023 年 5 月于首都医科大学附属北京友谊医院 泌尿外科行 RARC 的 70 例患者进行分析，简单随机分组分为研究组和对照组（各 35 例）。对照组接受常规护理管 理，研究组接受 ERAS 护理配合多模式镇痛管理。比较两组患者围手术期指标、术后疼痛情况、运动步数及康复指标。 结果：与对照组相比，研究组麻醉恢复室留置时间明显更短，术后48 h、72 h静态、动态疼痛视觉模拟评分法评分更低， 术后 1~3 d 运动步数更高，术后排气时间、排便时间、进食时间、住院时间更短，差异均具有统计学意义（P<0.05）。 结论：多模式镇痛管理配合 ERAS 护理可降低 RARC 患者术后疼痛，提高康复效率。

Objective: To investigate the effects of multimodal analgesia management combining with enhanced recovery after surgery (ERAS) nursing on postoperative analgesia and recovery in patients undergoing robot-assisted radical cystectomy (RARC). Methods: 70 patients who underwent RARC in Beijing Friendship Hospital of Capital Medical University from May 2020 to May 2023 were prospectively selected for analysis. They were divided into the study group (n=35) and the control group (n=35) by simple randomization. The control group received conventional nursing management, and the study group received ERAS nursing combining with multimodal analgesia management. Perioperative indicators, postoperative pain level, exercise steps and rehabilitation indicators of patients were compared between the two groups. Results: Compared with the control group, the study group had a significantly shorter stay in the anesthesia recovery room, lower scores on the static and dynamic VAS at 48 h and 72 h after surgery, higher numbers of excercise steps at 1~3 d after surgery, and it also had a shorter time to defecation, bowel movement, time to feed, and shorter length of stay, and the differences were statistically significant (P<0.05). Conclusion: Multimodal analgesic management combining with ERAS nursing can reduce postoperative pain and improve rehabilitation efficiency in RARC patients.

收稿日期：2023-12-13  录用日期：2024-02-28 

Received Date: 2023-12-13  Accepted Date: 2024-02-28 

基金项目：北京市自然科学基金面上项目（7222034） 

Foundation Item: General Project of Beijing Natural Science Foundation(7222034) 

通讯作者：张娣，Email：912334701@qq.com 

Corresponding Author: ZHANG Di, Email: 912334701@qq.com 

引用格式：张娣，林琦，宋菲菲 . 多模式镇痛配合加速康复外科护理在机器人辅助根治性膀胱切除术中的应用 [J]. 机器人外科学杂 志（中英文），2024，5（5）：964-969. 

Citation: ZHANG D, LIN Q, SONG F F. Efficacy of multimodal analgesia combining with ERAS nursing in robot-assisted radical cystectomy[J]. Chinese Journal of Robotic Surgery, 2024, 5(5): 964-969.

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