人工全髋关节置换术改良比基尼前入路的护理管理

发布时间：2018-05-06 11:17

本文选题：人工全髋关节置换术 + 比基尼前入路　；参考：《实用临床护理学电子杂志》2016年12期

【摘要】：目的探讨人工全髋关节置换改良比基尼前入路与常规后外侧入路的护理管理效果比较。方法选取2016年2月~2016年6月我院收治的髋关节骨性关节炎患者40例作为研究对象,随机分成改良入路组和常规入路组,各20例。按照术前健康教育管理,术前超前镇痛管理,术后引流管的护理,对术后视觉模拟评分(VAS)、出血量、住院时间、护理满意度进行比较。结果与常规入路组相比,改良入路组术后VAS评分显著降低,出血量由(500±50.51)m L降至(200±10.12)m L,住院时间由(8±1.5)天降至(5±0.5)天,护理满意度由85%升至100%,差异有统计学意义(P0.05)。结论人工全髋关节置换中采取改良比基尼前入路可以明显的降低患者术后疼痛,显著降低出血量,缩短住院时间,提高护理满意度。从微创髋关节置换角度出发,可以为患者提供更好的服务,降低患者的经济负担,从而提高患者满意度。
[Abstract]:Objective to compare the effect of nursing management between the modified bikini anterior approach and the routine posterolateral approach in total hip replacement. Methods from February 2016 to June 2016, 40 patients with hip osteoarthritis were randomly divided into two groups: the modified approach group and the conventional approach group (20 cases each). According to preoperative health education management, preemptive analgesia management, postoperative drainage tube nursing, visual analogue score, blood loss, hospital stay, nursing satisfaction were compared. Results compared with the conventional approach group, the VAS score of the modified approach group decreased significantly, the bleeding volume decreased from 500 卤50.51ml / L to 200 卤10.12mL, the hospitalization time decreased from 8 卤1.5 days to 5 卤0.5 days, and the nursing satisfaction degree increased from 85% to 100% (P 0.05). Conclusion the modified bikini anterior approach in total hip replacement can significantly reduce postoperative pain, blood loss, hospital stay and nursing satisfaction. From the angle of minimally invasive hip replacement, it can provide better service for patients, reduce the economic burden of patients, and improve patients' satisfaction.
【作者单位】：青岛大学附属医院;
【分类号】：R473.6

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