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人工髋关节置换术临床护理体会 被引量:4

Clinical nursing experience of artificial hip replacement
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摘要 目的总结人工髋关节置换术患者的临床护理体会。方法回顾性分析2008-2011年间我院骨科收治的62例人工髋关节置换手术患者的临床资料,以及围手术期护理、术后并发症的预防及处理、康复训练指导等情况。结果患者手术时间2-4h,平均2.7h,住院时间14-22d,平均16.3d。术后4例(6.5%)发生并发症,并发症发生率为,其中呼吸道感染3例,下肢深静脉血栓1例,经对症治疗后痊愈。随访6-18个月发现,Harris评分为64-103分,平均90.7分,其中80分以上47例,优良率为75.8%。结论有效的围手术期护理能够消除患者的不良心理,积极的配合治疗,提高手术的成功率,预防并发症的发生,促进术后的功能恢复,提高生活质量。 Objective To summarize the Clinical nursing experience of artificial hip replacement. Methods A retrospective analysis was operated about 62 cases of artificial hip joint replace-ment operation of 2008 2011 years in our hospital, as well as perioperation period nursing, prevention and management of postoperative complications, rehabilitation training and other conditions. Results Operation time was 24 h, average 2.7 h, hospitalization time was 1422 d, the mean 16, 3 d. Postoperative complications occurred in 4 cases, the complication rate was 6.5%,with the respiratory tract infection in 3 cases, venous thrombosis in 1 cases, after symptomatic therapy. Followed up for 6 18 months, Harris score of 64 to 103, average 9'0.7 points, of which more than 80 points in 47 cases, the excellent and good rate was 75.8 %. Conclusion Effective peri -operation period nursing can eliminate the adverse psychological, cooperate with the treatment, improve the success rate of operation, prevent complications, to promote, postoperative recovery of function, improve the quality of life.
作者 叶红 赵琴
出处 《实用临床医药杂志》 CAS 2012年第4期69-70,共2页 Journal of Clinical Medicine in Practice
基金 中国高校医学期刊临床专项资金(11220008)
关键词 人工髋关节置换 围手术期 并发症 护理 artificial hip replacement peri - period of operation complication nursingcare
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