人工关节置换术后患者不同体位的实施与护理效果-《西部中医药》

文章信息/Info

Title:: Conduction of Different Positions of Patients after Artificial Joint Replacement and Nursing Effects

Author(s):: CHEN Qi, LIU Min; Orthopedic Department of Ankang Traditional Chinese Medicine Hospital, Ankang 725000, China

Keywords:: artificial joint replacement; position nursing; half-suspended position; hemorrhage volume; complication

摘要:: 目的：探讨人工关节置换术后患者不同体位的实施与护理效果。方法：将90例患者随机分为观察组、对照组各45例，所有患者均行人工关节置换术治疗，对照组术后给予常规体位护理干预，观察组术后给予半悬浮式体位护理干预，观察2组患者预后恢复与并发症发生情况。结果：切口引流量、术前术后血红蛋白差、总输血量观察组分别为(419.45±36.39)mL、(21.98±4.84)g/L和(902.84±61.34)mL，均明显少于对照组(P＜0.05)。术后肺内感染、假体脱位、深静脉血栓形成、体位性低血压等并发症发生率观察组均低于对照组(P＜0.05)。髋关节功能优良率观察组、对照组分别为93.3%、80.0%，2组比较差异有统计学意义(P＜0.05)。结论：人工关节置换术后患者半悬浮式体位的实施与护理能减少出血量和术后并发症的发生，促进髋关节功能的改善。

Abstract:: Objective: To expolre the conduction of different positions of patients after artificial goint replacement and nursing effects. Methods: 90 patients were randomly divided into the observation group and the control group, each group 45 cases. All patients were given artificial joint replacement, the control group was given routine body position nursing intervention after surgery, the observation group given half-suspended position nursing intervention, prognostic recovery and complication condition were observed in two groups. Results: Incisional drainage volume, hemoglobin difference value before and after surgery, total transfusion volume in the observation group were (419.45±36.39)mL, (21.98±4.84) g/L and(902.84±61.34)mL seperately, less than these of the control group obviously(P＜0.05). The occurrence rates the complications such as of intrapulmonary infection, prothesis dislocation, deep venous thrombosis and low hypotension in the observation group were lower than the rates of the control group(P＜0.05). Good rate of hip joint function in the observation group and the control group were 93.3% and 80.0% seperately, there were statistical differences(P＜0.05). Conclusion: Half-suspended position and nursing after prothesis replacement can reduce hemorrhage volume and complication occurrence, promote hip joint improvement.