基于快速康复外科理念的手术室护理在人工全膝关节置换术患者中的应用

Effect of Operating Room Nursing Based on FTS Concept in Patients Undergoing Artificial Total Knee Arthroplasty

目的探讨针对行人工全膝关节置换术的患者实施基于快速康复外科(FTS)理念的手术室护理的效果。方法选取2020年1月至2021年3月于我院择期行人工全膝关节置换术的患者60例,按随机数字表法将其分为两组,每组各30例。观察组实施基于FTS理念的手术室护理,对照组实施常规护理,两组均护理至患者出院。对比两组围术期指标、膝关节功能及并发症发生情况。结果观察组术中出血量少于对照组,术后下床活动、住院时间均短于对照组;观察组护理后膝关节功能评分高于对照组;观察组并发症发生率(3.92%)低于对照组(17.65%),差异均有统计学意义(P<0.05)。结论针对行人工全髋关节置换术的患者实施基于FTS理念的手术室护理能够加快其术后恢复,改善膝关节功能,减少并发症的发生。

Objective:To explore the effect of operating room nursing based on the concept of fast rehabilitation surgery(FTS)for patients undergoing artificial total knee arthroplasty.Methods:60 patients who underwent total knee arthroplasty in our hospital from January 2020 to March 2021 were selected and divided into two groups according to the random number table method,with 30 cases in each group.The observation group performed operating room nursing based on the FTS concept,the control group performed routine nursing,and both groups were treated until the patient was discharged.The perioperative indicators,knee joint function and complications were compared between the two groups.Results:The intraoperative blood loss of the observation group was less than that of the control group,and the postoperative time of getting out of bed and hospitalization were shorter than those of the control group.The knee function score of the observation group after nursing was higher than that of the control group;the incidence of complications of the observation group(3.92%)was lower than that of the control group(17.65%),the differences were statistically significant(P<0.05).Conclusion:The implementation of FTS-based operating room nursing for patients undergoing artificial total knee arthroplasty can speed up their postoperative recovery,improve knee joint function,and reduce complications.