针对性手术室护理配合应用在人工全髋关节置换术中的效果研究

李佳 胡海洋 朱敏秋 张宇虹 王世聪 刘琦 田薇 胡绍卉

[摘要] 目的 探讨针对性手术室护理配合应用在人工全髋关节置换术中的效果。 方法 选取2018年2～12月于本院接受治疗的106例人工全髋关节置换术患者，随机分为对照组53例（基础护理）与观察组53例（针对性手术室护理），比较两组护理效果。 结果 治疗结束，观察组护理后心率为（74.15±4.51）次/min、舒张压为（81.39±6.07）mmHg、收缩压为（124.15±9.63）mmHg、手术耗时为（102.44±34.82）min、输液总量为（1401.15±65.47）mL、输血总量为（505.83±26.81）mL、患者护理满意率为98.11%，护理后观察组在心率、舒张压、收缩压、手术耗时、输液总量指标均低于对照组，差异具有统计学意义（P<0.05），观察组在输血总量、护理满意率上均低于对照组，差异具有统计学意义（P<0.05）。 结论 针对性手术室护理方法可有效改善人工全髋关节置换术患者预后，值得推广使用。

[关键词] 人工全髋关节置换术;手术室;针对性;护理配合

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2019）17-0145-03

[Abstract] Objective To investigate the effect of targeted operation room nursing in artificial total hip arthroplasty. Methods A total of 106 patients undergoing artificial total hip arthroplasty who were treated in our hospital from February to December 2018 were randomly divided into the control group of 53 patients（basic nursing） and the observation group of 53 patients（targeted operating room nursing）. The nursing effects of the two groups were compared. Results At the end of treatment， the heart rate of the observation group after nursing was（74.15±4.51） times/min， the diastolic blood pressure was（81.39±6.07）mmHg， the systolic blood pressure was（124.15±9.63）mmHg， and the operation time was（102.44±34.82）min， total infusion volume was（1401.15±65.47）mL， total blood transfusion was（505.83±26.81）mL， patient nursing satisfaction rate was 98.11%. The heart rate， diastolic blood pressure， systolic blood pressure， operation time， and the total infusion in the observation group after nursing were lower than those of the control group， the differences were statistically significant（P<0.05）. The total blood transfusion and nursing satisfaction rate of the observation group were lower than those of the control group， and the differences were statistically significant（P<0.05）. Conclusion The targeted operating room nursing method can effectively improve the prognosis of patients undergoing total hip arthroplasty， which is worthy of popularization.

[Key words] Artificial total hip arthroplasty;Operating room;Targeted;Nursing cooperation

骨關节疾病是一种临床表现多为骨刺、活动艰难、僵直及关节肿痛的骨科临床常见病[1]，该病包括股骨头坏死、风湿性关节炎、骨质增生、肩周炎、腰椎病、颈椎病及退行性关节炎等疾病问题[2]，对患者日常工作及生活有极大影响。临床治疗该病时多采用人工关节置换术术式[3]，且在诊治过程中常辅以有效护理方法作相应治疗，为提升该病患者手术疗效，缓解其临床症状，本文探讨了针对性手术室护理方法对人工全髋关节置换术患者的临床效果，现报道如下。

1 资料与方法

1.1一般资料

选定2018年2～12月期间本院收治的人工全髋关节置换术患者106例，随机分为两组，观察组（n=53）采用针对性手术室护理方法，对照组（n=53）采用基础护理方法。观察组中女17例，男36例，年龄64～84岁，平均为（69.37±3.78）岁;对照组中女18例，男35例，年龄65～84岁，平均为（69.81±3.27）岁。……