思维导图在一期翻修术治疗全膝关节置换术后感染患者围术期的应用

发布时间：2019-01-17 12:25

【摘要】：目的探究思维导图在一期翻修术治疗全膝关节置换术后感染患者围术期的应用效果。方法选取2013年6月-2016年6月于医院接受治疗的201例全膝关节置换术后感染患者,按照采用思维导图的时间分为对照组和观察组,其中2013年6月-2014年12月的104例患者为对照组,2015年1月-2016年6月的97例患者为观察组,对照组患者接受常规的围术期干预方法,观察组患者使用医院新式的思维导图干预方法,统计两组患者的膝关节功能评分(KSS)、生活质量,抽查围术期医护人员操作规范程度、不良事件发生率,对患者感染处进行血样培养,统计患者感染病原菌数量,观察患者治疗依从度,术后随访六个月,调查患者满意度及患者术后复发和并发症发生率。结果观察组患者KSS及围术期医护人员操作规范程度评分,分别为(81.24±12.08)分及(96.22±6.74)分,均优于对照组(71.59±11.27)分及(85.98±8.35)分,两组比较差异有统计学意义(P0.05);血样培养结果显示,患者感染病原菌以表皮葡萄球菌感染为主,其次为金黄色葡萄球菌;对照组患者治疗依从率为83.66%,满意率为75.96%;观察组治疗依从率为88.66%,满意率为90.72%,差异有统计学意义(P0.05);对照组患者术后复发12例占11.54%,发生并发症7例占6.73%,观察组术后复发6例占6.19%,发生并发症4例占4.12%,差异有统计学意义(P0.05)。结论思维导图在一期翻修术治疗全膝关节置换术后感染患者围术期的应用效果,高于仅使用常规干预方式,有利于减少治疗过程的不良事件,提高疗效,促进患者术后恢复,减少复发。
[Abstract]:Objective to explore the effect of mental mapping in the treatment of infection after total knee arthroplasty. Methods 201 patients with total knee arthroplasty who were treated in hospital from June 2013 to June 2016 were divided into control group and observation group according to the time of using thinking map. 104 patients in the control group from June 2013 to December 2014 and 97 patients from January 2015 to June 2016 as the observation group. The patients in the control group received routine perioperative intervention. In the observation group, the patients in the observation group used the new method of mental mapping intervention in hospital, counted the quality of life of the knee joint function score of the two groups, randomly checked the standard degree of operation of the medical staff during perioperative period, and the incidence of adverse events. Blood samples were collected from the infected patients to count the number of pathogenic bacteria, observe the compliance of the patients with treatment, and follow up for 6 months to investigate the patients' satisfaction and the incidence of postoperative recurrence and complications. Results the scores of KSS and operating standard of medical staff in the observation group were (81.24 卤12.08) and (96.22 卤6.74), respectively, which were superior to those in the control group (71.59 卤11.27) and (85.98 卤8.35), respectively. The difference between the two groups was statistically significant (P0.05). The results of blood culture showed that Staphylococcus epidermidis was the main pathogen, followed by Staphylococcus aureus, while in the control group, the compliance rate was 83.66 and the satisfaction rate was 75.96. Treatment compliance rate was 88.66 in the observation group, satisfaction rate was 90.72%, the difference was statistically significant (P0.05). In the control group, 12 cases of postoperative recurrence occurred 11.54 and 7 cases of complications occurred 6.73. In the observation group, 6 cases of postoperative recurrence accounted for 6.19%, 4 cases of complications occurred 4.12, the difference was statistically significant (P0.05). Conclusion the effect of mind-mapping in the perioperative period of total knee arthroplasty after total knee arthroplasty is higher than that of conventional intervention, which is helpful to reduce the adverse events in the treatment process, improve the curative effect and promote the postoperative recovery. Reduce recurrence.
【作者单位】：河南省人民医院骨科;
【基金】：河南省医学科技攻关计划基金资助项目(201503156)
【分类号】：R687.4

【相似文献】