人工髋关节置换术的有效护理方法及护理效果分析(1)
[摘要] 目的 探讨和分析人工髋关节置换术的有效护理方法和护理效果。方法 方便选取该院于2014年1月—2017年10月收治的60例进行人工髋关节置换术的患者为研究对象，随机分为两组，对照组采用常规护理，研究组在此基础上给予综合性护理。比较两组患者的平均住院治疗时间，术后72 h 的VAS疼痛评分和术后2个月的Harris评分，护理服务优良率和术后并发症发生情况。结果 研究组患者的平均住院治疗时间、VAS评分分别为(16.96±2.63)分、(3.18±1.01)分显著低于对照组，Harris评分(86.58±7.84)分显著高于对照组，差异有统计学意义(P<0.05)。研究组患者的护理优良率93.33%显著高于对照组，并发症发生率3.33%显著低于对照组，差异有统计学意义(χ2=4.320、4.043，P<0.05)。结论 人工髋关节置换术后对患者实施综合护理干预，能够缩短患者住院治疗时间，减少并发症的发生，改善患者预后，值得临床广泛应用。
[关键词] 人工髋关节置换；护理方法；护理效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2018)10(b)-0137-03
[Abstract] Objective To explore and analyze the effective nursing methods and nursing effects of artificial hip joint replacement. Methods Sixty patients who underwent artificial hip arthroplasty from January 2014 to October 2017 were conveniently selected and randomly divided into two groups. The control group received routine nursing. The research group gave comprehensive results. Sexual care， the average hospitalization time of the two groups was compared， the VAS pain score at 72 h after surgery and the Harris score at 2 months postoperatively， the excellent rate of care service and postoperative complications were compared. Results The average hospitalization time and VAS scores of the study group were (16.96±2.63) points and(3.18±1.01) points， which were significantly lower than the control group. The Harris score (86.58±7.84) was significantly higher than the control group， with academic significance(P<0.05). The excellent and good nursing rate of the study group was significantly higher than that of the control group， and the complication rate was 3.33%， which was significantly lower than that of the control group (χ2=4.320， 4.043， P<0.05). Conclusion Comprehensive nursing intervention for patients after artificial hip joint replacement can shorten the hospitalization time， reduce the incidence of complications and improve the prognosis of patients. It is worthy of clinical application.
[Key words] Artificial hip joint replacement； Nursing method； Nursing effect
人工髖关节置换术是治疗股骨颈骨折、骨性关节炎、股骨头无菌性坏死等骨科疾病的一种常见治疗手段[1]，可有效缓解关节疼痛，改善关节破坏并伴有中重度功能障碍，从而恢复关节运动功能和矫正畸形[2]。但由于有效护理方法的缺乏容易引起下肢深静脉血栓、创面出血和感染等并发症，大大降低了患者的生活质量[3]。因此，对行人工髋关节置换术患者进行有效的护理具有重要意义。为进一步探讨和分析人工髋关节置换术的有效护理方法和护理效果，方便选取2014年1月—2017年10月在该院进行人工髋关节置换术的患者60例作为研究对象，现报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院进行人工髋关节置换术的60例患者，根据入组时间编号，随机分为研究组和对照组，两组均30例。其中研究组：男18例，女12例，年龄50～79岁，平均(65.35±5.34) 岁，病因：股骨头缺血性坏死8例、骨性关节炎9例、股骨颈骨折13例，患者术前Harris评分 (32.23±2.35) 分；对照组：男17例，女13例，年龄51～79岁，平均 (65.85±5.27) 岁，病因：股骨头缺血性坏死9例、骨性关节炎9例、股骨颈骨折12例，患者术前Harris评分 (33.35±3.18) 分。排除标准：心、肾、肝等重要脏器功能障碍或造血系统疾病者；严重骨质疏松或骨代谢相关的系统性疾病者；精神类疾病患者。两组患者的性别、年龄及术前Harris 评分均差异无统计学意义(P>0.05)，具有可比性。所有患者均签署知情同意书，且该方案通过伦理委员会批准。, 百拇医药(石燕)
[关键词] 人工髋关节置换；护理方法；护理效果
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2018)10(b)-0137-03
[Abstract] Objective To explore and analyze the effective nursing methods and nursing effects of artificial hip joint replacement. Methods Sixty patients who underwent artificial hip arthroplasty from January 2014 to October 2017 were conveniently selected and randomly divided into two groups. The control group received routine nursing. The research group gave comprehensive results. Sexual care， the average hospitalization time of the two groups was compared， the VAS pain score at 72 h after surgery and the Harris score at 2 months postoperatively， the excellent rate of care service and postoperative complications were compared. Results The average hospitalization time and VAS scores of the study group were (16.96±2.63) points and(3.18±1.01) points， which were significantly lower than the control group. The Harris score (86.58±7.84) was significantly higher than the control group， with academic significance(P<0.05). The excellent and good nursing rate of the study group was significantly higher than that of the control group， and the complication rate was 3.33%， which was significantly lower than that of the control group (χ2=4.320， 4.043， P<0.05). Conclusion Comprehensive nursing intervention for patients after artificial hip joint replacement can shorten the hospitalization time， reduce the incidence of complications and improve the prognosis of patients. It is worthy of clinical application.
[Key words] Artificial hip joint replacement； Nursing method； Nursing effect
人工髖关节置换术是治疗股骨颈骨折、骨性关节炎、股骨头无菌性坏死等骨科疾病的一种常见治疗手段[1]，可有效缓解关节疼痛，改善关节破坏并伴有中重度功能障碍，从而恢复关节运动功能和矫正畸形[2]。但由于有效护理方法的缺乏容易引起下肢深静脉血栓、创面出血和感染等并发症，大大降低了患者的生活质量[3]。因此，对行人工髋关节置换术患者进行有效的护理具有重要意义。为进一步探讨和分析人工髋关节置换术的有效护理方法和护理效果，方便选取2014年1月—2017年10月在该院进行人工髋关节置换术的患者60例作为研究对象，现报道如下。
1 资料与方法
1.1 一般资料
方便选取在该院进行人工髋关节置换术的60例患者，根据入组时间编号，随机分为研究组和对照组，两组均30例。其中研究组：男18例，女12例，年龄50～79岁，平均(65.35±5.34) 岁，病因：股骨头缺血性坏死8例、骨性关节炎9例、股骨颈骨折13例，患者术前Harris评分 (32.23±2.35) 分；对照组：男17例，女13例，年龄51～79岁，平均 (65.85±5.27) 岁，病因：股骨头缺血性坏死9例、骨性关节炎9例、股骨颈骨折12例，患者术前Harris评分 (33.35±3.18) 分。排除标准：心、肾、肝等重要脏器功能障碍或造血系统疾病者；严重骨质疏松或骨代谢相关的系统性疾病者；精神类疾病患者。两组患者的性别、年龄及术前Harris 评分均差异无统计学意义(P>0.05)，具有可比性。所有患者均签署知情同意书，且该方案通过伦理委员会批准。, 百拇医药(石燕)