摘要
目的探究分析甲型重型血友病性关节炎行全膝关节置换术的护理方法及效果.方法选取2017年1月—2018年5月于该院收治的40例甲型重型血友病性关节炎作为研究对象,患者均行全膝关节置换术治疗,术前行凝血因子药物代谢动力学实验.将40例患者随机分为两组,对照组应用常规护理,观察组联合优质护理,对比两组护理效果.结果两组患者的屈曲畸形、HSS评分术后均有改善,但观察组患者的屈曲畸形小于对照组,差异有统计学意义(P<0.05).观察组患者的HSS评分高于对照组,差异有统计学意义(P<0.05).两组患者护理期间均有不良反应发生,观察组不良反应(感染、血肿、假体松动)发生率小于对照组,差异有统计学意义(P<0.05).结论甲型重型血友病性关节炎行全膝关节置换术期间给予优质护理,可有效提升手术疗效,减少不良反应.
Objective To explore and analyze the nursing methods and effects of total knee replacement in severe hemophiliac arthritis a.Methods 40 cases of severe hemophiliac arthritis a admitted to our hospital from January 2017 to May 2018 were selected as research objects. All patients received total knee replacement and underwent preoperative pharmacokinetic test of coagulation factors.40 patients were randomly divided into two groups, the control group using routine nursing, observation group combined with quality nursing, compare the nursing effect of the two groups.Results The flexion deformity and HSS score were improved in both groups, but the flexion deformity in the observation group was smaller than that in the control group,the difference was statistically significant(P<0.05).The HSS score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions(infection, hematoma, prosthesis loosening) in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion High quality nursing care during total knee replacement for severe hemophiliac arthritis a can effectively improve the curative effect and reduce adverse reactions.
作者
孙杰杰
周建艳
苗园
SUN Jiejie;ZHOU Jianyan;MIAO Yuan(People’s Hospital Of Rizhao,Rizhao Shandong,276800)
出处
《双足与保健》
2019年第15期21-22,共2页
Biped and Health
