在全髋关节置换术中,自动组件植入对外科医生工效学、疲劳和压力水平的影响

F. Vandeputte, Christophe Hausswirth, Alexandre Coste, Cyril Schmit, Olivier Vanderhaeghen, Aline Vandeputte, Jeroen Dille, Frederik Matthys, K. Corten
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引用次数: 0

摘要

全髋关节置换术(THA)手术在体力和认知方面都具有挑战性。在组件植入过程中的非最佳姿势可能会影响外科医生的工效学和疲劳度。30 例髋关节置换手术共进行了 3 天。仅在第一天进行了人工植入(MI)。姿势风险通过快速上肢评估(RULA)和快速全身评估(REBA)评分进行评估。三项认知任务(西蒙、模式比较和追逐转子测试)和五项体能测试(等距壁坐、平面到疲劳、手握、超体位任务和肩部耐力)评估了外科医生在上午、中午和下午的心理生理负荷。此外,还记录了外科医生的皮质醇浓度和拉削过程的声级。RULA和REBA得分是自动冲击(AI)的1.7至3倍。体力消耗在自动装夹后较低:等长壁坐测试(10.6% 对 22.9%)、平面到疲劳(2.2% 对 43.8%)、超体位任务(-0.7% 对 -7.7%)、手握力产生(优势手 -6.7% 对 -12.7%;对侧 +4.7% 对 +7.7%)和肩部耐力(-15 秒 对 -56 秒)。与人工智能相比,人工智能后所有认知测试的反应时间更快,错误率更低。人工智能日期间,唾液皮质醇水平下降了 51%,而人工智能日后则上升了 38%。人工智能的平均拉削时间为 7'3'',而人工智能为 6'20''。使用人工智能设备的平均声级为 64.3 dBA,而使用手动压入的平均声级为 68.2 dBA。自动 THA 组件植入改善了外科医生的工效学,从而降低了荷尔蒙压力水平,减少了体力和认知疲劳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect Of Automated Component Impaction On The Surgeon’s Ergonomics, Fatigue And Stress Levels In Total Hip Arthroplasty
Total Hip Arthroplasty (THA) surgery is physically and cognitively challenging. Sub-optimal posture during component impaction may influence surgeon’s ergonomics and fatigue. Thirty THA procedures were executed for 3 days. Only during the first day, manual impaction (MI) was performed. Postural risk was evaluated with Rapid Upper Limb Assessment (RULA) and Rapid Entire Body Assessment (REBA) score. Three cognitive tasks (Simon, pattern comparison and pursuit rotor test) and five physical tests (isometric wall-sit, plank-to-fatigue, handgrip, supra-postural task, and shoulder endurance) assessed surgeon’s psycho-physiological load in the morning, midday, and afternoon. Surgeon’s cortisol concentration and sound level of the broaching process was also recorded. RULA and REBA scores were 1.7 to 3 times lower with automated impaction (AI). Physical exhaustion was lower with AI: isometric wall-sit test (10.6% vs. 22.9%), plank-to-fatigue (2.2% vs. 43.8%), supra-postural task (-0.7% vs. -7.7%), handgrip force production (dominant hand -6.7% vs. -12.7%; contralateral +4.7% vs. +7.7%), and in shoulder endurance (-15s vs. -56s). After AI, the cognitive performance showed faster response times and lower error rates for all cognitive tests compared to MI. The salivary cortisol level decreased during the AI-days by 51% in comparison to a 38% increase following the MI-day. Mean broaching time with AI was 7’3’’ compared to 6’20’’ with MI. The mean sound level with the AI-device was 64.3 dBA compared to 68.2 dBA with manual impaction. Automated THA component impaction improved the surgeon’s ergonomics which resulted in reduced hormonal stress levels and lower physical and cognitive exhaustion.
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