针对性手术室护理配合在人工全髋关节置换术中的应用效果观察

Effects of targeted operating room nursing cooperation on total hip arthroplasty

目的:观察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:回顾性分析2017年1月至2018年10月的80例人工全髋关节置换术患者的临床资料,依据护理方法的不同将其分为研究组和对照组各40例,对照组给予常规护理配合,研究组在对照组的基础上给予针对性手术室护理配合,比较护理前后两组生命体征(舒张压、收缩压、呼吸、心率)、手术情况(术中输血量、术中输液量、手术时间)、并发症发生情况和护理有效率。结果:护理后研究组舒张压、收缩压、呼吸、心率、术中输血量、输液量和手术时间均明显优于对照组,差异均有统计学意义(P<0.05);研究组并发症发生率为10.0%(4/40),明显低于对照组的27.5%(11/40),差异有统计学意义(P<0.05);研究组护理有效率为95.0%(38/40),明显高于对照组的80.0%(32/40),差异有统计学意义(P<0.05)。结论:在常规护理基础上应用针对性手术室护理配合,可明显改善人工全髋关节置换术患者的生命体征,降低术后并发症发生率,且护理有效率明显高于常规护理。

Objective: To study effects of targeted operating room nursing cooperation on total hip arthroplasty. Methods: The clinical data of 80 patients undergoing total hip arthroplasty from January 2017 to October 2018 in Jiamusi hospital of traditional Chinese medicine were retrospectively analyzed. According to different nursing methods, they were divided into study group and control group, 40 cases in each. The control group was given routine nursing cooperation, while the study group used the targeted operating room nursing cooperation on the basis of that of the control group. The vital signs(diastolic blood pressure, systolic blood pressure, respiration, heart rate), operation status(intraoperative blood transfusion, intraoperative fluid volume, operation time), complications, and nursing effective rate were compared between the two groups before and after the nursing. Results: After the nursing, the diastolic blood pressure, systolic blood pressure, respiration, heart rate, intraoperative blood transfusion volume, intraoperative fluid volume and operation time of the study group were significantly better than those of the control group, and the differences were statistically significant(P<0.05). The complication rate of the study group was 10.0%(4/40), which was significantly lower than the control group of 27.5%(11/40), and the difference was statistically significant(P<0.05). The nursing effective rate of the study group was95.0%(38/40), which was significantly higher than the control group of 80.0%(32/40), and the difference was statistically significant(P<0.05).Conclusions: Targeted operating room nursing cooperation on the basis of routine nursing cooperation can significantly improve the vital signs of the patients undergoing total hip arthroplasty, and reduce the incidence of postoperative complications. Moreover, its nursing effective rate is significantly higher than the routine nursing cooperation.