目的：探讨路径导向性护理与体温管理策略在机器人辅助腹腔镜下根治性前列腺切除术（RALRP）患者中的护理疗效。 方法：选取 2020 年 7 月—2023 年 6 月空军军医大学第一附属医院收治的 102 例行 RALRP 的患者。按照随机数表法，将所 有患者分为研究组（路径导向性护理与体温管理策略干预，n=51）和对照组（常规护理干预，n=51）。比较两组患者术中体温、 生理应激反应及凝血功能。结果：与 T0（入室时）时比较，两组患者在 T1（手术 10 min）、T2（手术 30 min）、T3（术毕） 时的体温降低（P<0.05）；与对照组比较，研究组在 T1、T2、T3 时体温更高（P<0.05）。与干预前比较，两组患者干预后 去甲肾上腺素（NE）、皮质醇（Cor）、肾素活性（PRA）、多巴胺（DA）升高（P<0.05）；与对照组比较，研究组干预后 NE、Cor、PRA、DA 更低（P<0.05）。与干预前比较，两组患者干预后活化部分凝血活酶时间（APTT）、凝血酶时间（TT）、 凝血酶原时间（PT）、纤维蛋白原（FIB）升高（P<0.05）；与对照组比较，研究组干预后 APTT、TT、PT、FIB 更低（P<0.05）。 结论：路径导向性护理与体温管理策略在 RALRP 患者中的应用可更好地维持患者体温，减轻生理应激反应，改善凝血功能。

Objective: To explore the nursing efficacy of pathway-oriented care and body temperature management strategies in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP). Methods: 102 patients who underwent RALRP at the First Affiliated Hospital of Air Force Medical University from July 2020 to June 2023 were selected. They were divided into the study group (n=51, pathway-oriented care and body temperature management strategies) and the control group (n=5, routine nursing intervention) using a random number table. Intraoperative body temperature, physiological stress responses, and coagulation function were compared between the two groups of patients. Results: Compared with T0 (upon entering the operating room), intraoperative body temperature decreased in both groups at T1 (10 min after the start of surgery), T2 (30 min after the start of surgery), and T3 (end of surgery) (P<0.05). However, the study group showed significantly higher body temperatures than the control group at T1, T2, and T3 (P<0.05). After intervention, levels of norepinephrine (NE), cortisol (Cor), plasma renin activity (PRA), and dopamine (DA) increased in both groups compared to those before intervention (P<0.05), but these levels were significantly lower in the study group than those in the control group (P<0.05). Similarly, activated partial thromboplastin time (APTT), thrombin time (TT), prothrombin time (PT), and fibrinogen (FIB) were all increased in the two groups after intervention (P<0.05), yet these values were lower in the study group than those in the control group (P<0.05). Conclusion: The application of pathway-oriented care and body temperature management strategies in RALRP patients can better maintain body temperature, alleviate physiological stress responses, and improve coagulation function.

基金项目：国家自然科学基金（82102322） 

Foundation Item: National Natural Science Foundation of China(82102322) 

引用格式：杜冬艳，吴东娟，张梦姣 . 路径导向性护理与体温管理策略在机器人辅助腹腔镜下根治性前列腺切除术患者中的应用 [J]. 机器人 外科学杂志（中英文），2025，6（4）：686-690. 

Citation: DU D Y, WU D J, ZHANG M J. Application of pathway-oriented care and body temperature management strategies in patients  undergoing robot-assisted laparoscopic radical prostatectomy[J]. Chinese Journal of Robotic Surgery, 2025, 6(4): 686-690. 

通讯作者（Corresponding Author）：张梦姣（ZHANG Mengjiao），Email：547069117@qq.com

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