摘要
目的 探讨骨科机器人辅助治疗跟骨骨折的安全性及费用。方法 回顾性分析北京积水潭医院2021年1月-2022年7月收治的行手术治疗跟骨骨折患者的资料。采用倾向评分匹配对骨科机器人辅助下跟骨骨折闭合复位内固定(骨科机器人组)与传统切开复位内固定手术患者(传统手术组)进行1∶4匹配,比较匹配后两组患者的安全性及费用。结果 共计纳入253例患者,根据手术方式不同分为骨科机器人组(11例)和传统手术组(242例)。倾向评分匹配前,两组患者年龄、性别、诊断及合并症差异无统计学意义(P>0.05)。倾向评分匹配后,骨科机器人组11例患者,传统手术组44例患者,两组患者年龄、性别、诊断及合并症差异无统计学意义(P>0.05)。两组患者身高、体重、体质量指数、手术时长、术后疼痛平均分、术后疼痛最高分差异无统计学意义(P>0.05)。骨科机器人组术中出血量[10.0(10.0,20.0)vs. 20.0(20.0,50.0)mL]、住院总时长[(4.5±1.3)vs.(8.7±3.7)d]、术后住院时长[(2.3±1.1)vs.(4.5±2.3)d]比传统手术组少(P<0.05)。两组患者住院总费用、康复费用、检查和检验费用差异无统计学意义(P>0.05)。骨科机器人组手术费用[1 413.7(1 287.7,1 790.8)vs. 2 331.2(2 195.1,2 548.6)元]、病房总费用[(3 154.5±1 213.7)vs.(5 711.9±2 147.4)元]、病房耗材费用[(1 407.0±942.0)vs.(2 409.4±1 458.2)元]、病房用药费用[(257.1±146.6)vs.(846.7±525.2)元]、病房诊疗费用[(901.6±366.6)vs.(2 010.5±830.6)元]、护理费用[(159.6±46.1)vs.(345.2±174.7)元]、术后总费用[(2 370.4±1 324.0)vs.(3 888.6±1 554.9)元]、术后护理费用[(105.4±52.2)vs.(205.6±128.2)元]比传统手术组低(P<0.05)。结论 骨科机器人辅助治疗跟骨骨折可有效减少术中出血量,缩短住院时长,具有较好的安全性,同时可降低手术费用、病房总费用、病房用药费用及护理费用等。
Objective To explore the safety and costs of orthopedic robot-assisted treatment of calcaneal fractures. Methods The data of patients with calcaneal fractures treated by surgery in Beijing Jishuitan Hospital between January 2021 and July 2022 were retrospectively analyzed. Propensity score matching was used to match 1∶4 patients with orthopedic robotic-assisted closed reduction and internal fixation of calcaneal fractures(orthopedic robotic group) and traditional open reduction and internal fixation surgery(traditional surgery group). The safety and costs were compared between the two groups after matching. Results A total of 253 patients were included and divided into orthopedic robotic group(11 cases) and traditional surgery group(242 cases) according to different surgical methods.Before propensity score matching, there was no significant difference in age, gender, diagnosis and comorbidities between the two groups(P>0.05). After propensity score matching, there were 11 patients in the orthopedic robotic group and 44patients in the traditional surgery group. There was no significant difference in age, gender, diagnosis and comorbidities between the two groups(P>0.05). There was no significant difference in height, weight, body mass index, operation duration, average postoperative pain score, and highest postoperative pain score between the two groups(P>0.05). The intraoperative blood loss [10.0(10.0, 20.0) vs. 20.0(20.0, 50.0) mL], total length of hospital stay [(4.5±1.3) vs.(8.7±3.7) d],and postoperative length of hospital stay [(2.3±1.1) vs.(4.5±2.3) d] in the orthopedic robotic group were less than the traditional surgery group(P<0.05). There was no significant difference in the total hospitalization costs, rehabilitation costs, inspection and examination costs between the two groups(P>0.05). The surgical cost of orthopedic robot group [1 413.7(1 287.7, 1 790.8) vs. 2 331.2(2 195.1, 2 548.6) yuan], total ward cost [(3 154.5±1 213.7) vs.(5 711.9±2 147.4) yuan], ward consumables cost [(1 407.0±942.0)
作者
曹晶
夏京花
赵丹
王超
王军强
彭贵凌
贾云洋
鲁雪梅
CAO Jing;XIA Jinghua;ZHAO Dan;WANG Chao;WANG Junqiang;PENG Guiling;JIA Yunyang;LU Xuemei(Nursing Department,Beijing Jishuitan Hospital,Beijing 100035,P.R.China;Department of Molecular Orthopaedics,Beijing Research Institute of Traumatology and Orthopaedics,Beijing 100035,P.R.China;Inteigence Orthopedics Clinical Research Ward,Beijing Jishuitan Hospital,Beijing 100035,P.R.China;Department of Orthopedic Trauma,Beijing Jishuitan Hospital,Beijing 100035,P.R.China)
出处
《华西医学》
CAS
2022年第10期1476-1480,共5页
West China Medical Journal
基金
国家重点研发计划(2017YFC0110603)。
关键词
骨科机器人
跟骨骨折
倾向评分匹配
Orthopedic robot
calcaneal fracture
propensity score matching
