术中加温护理对预防机器人辅助手术后深静脉血栓形成的影响

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中图分类号 R473 文献标识码 A文章编号 2096-7721（2026）01-0147-06

AbstractObjective：Toinvestigatetheeffectofintraoperativelower-limb warmingcare inpreventingdeepveinthrombosis （DVT） follwing robot-assistedsurgery.Methods：100 patientshounderwentrobot-asistedsurgeryatthe96Oth Hospitalof hePLA Joint Logistics Support Force between June 2O23 and December 2O24 were randomly divided into the control group（ n： =50，receiving conventional DVT prevention） and the study group（ n=. 50，receiving conventional DVT prevention combined with intraoperative lower-limbwamingcare）.DVincidene，D-dimerlevels，corebodytmperature，ower-limbvenousbloodflowvelocityoaulation function，and postoperativelower-limbswellngandpainscores werecomparedbetweenthetwogroups.Results：Thestudygroup showed a significantly lower DVT incidence than the control group （ P <0.05）. At postoperative days 1 and 3， D-dimer levels were significantly lower in the study group than those in the control group （ P <0.01）. Core body temperature and lower-limb venous blood flow velocity were significantly higher in the study group than those in the control group during and after surgery （P<0.01） .No statistically significant diferences were observed between the two groups incoagulation parameters，including PT，APTT，and FIB （P>0.05） ！ Postoperativelower-limb swellingand painscores were significantlylowerinthe study group thanthose inthe control group（ P <0.01）. Conclusion：Intraoperativelower-limb warmingcarecanefectivelymaintaincorebodytemperature，enhancevenousretur inthe lowerlimbs，duetoboticsk，ndallviateostoperatiedsomfort，ichassgiicatlicalacyinrevtilo limb DVT following robot-assisted surgery.

KeyWords Robot-assisted Surgery;Lower ExtremityWarming Care;Deep Vein Thrombosis

机器人辅助手术虽具有创伤小、恢复快等优点[-4]，但手术时间长、特殊体位（如头低脚高位或截石位）及气腹状态易导致下肢静脉回流受阻，增加深静脉血栓形成（deepveinthrombosis，DVT）风险[5。（剩余8857字）