关节镜下治疗髋臼盂唇损伤患者的围手术期护理

Perioperative nursing for patients with acetabular labral tears underwent hip arthroscopy

目的探讨髋关节镜手术患者围手术期的护理措施。方法回顾性分析2008年11月至2011年2月问经关节镜治疗髋臼孟唇损伤的住院患者29例（31髋）的护理资料。围手术期给予健康宣教、功能锻炼、特殊部位护理以及出院指导。结果随访（11．6±3．7）个月，患者症状明显缓解，VAS评分由术前（5．4±1．3）分降为术后6个月（1．4±0．9）分，差异有统计学意义（t=21．361，P〈0．05）。Harris评分由术前（65．7±9．9）分提高至术后6个月（84．1±9．6）分，差异均有统计学意义（t=-13．162，P〈0．05）。除1例术中发生股外侧皮神经损伤外无其他并发症发生。结论落实围手术期护理可以获得髋关节镜手术患者的主动配合，利于术后康复，获得较好的临床效果。

Objective To investigate the perioperative nursing procedures for patients who underwent arthroscopic treatment of acetabular labral tears. Methods Included in this retrospective study were 29 patients （31 hips） with acetabular labral tears treated in our hospital from November 2008 to February 2011. Preoperative patient education, functional exercises and intensive nursing to special sites were carefully performed during perioperative period, and detailed rehabilitation guidance was given to the patients when discharging. Results All patients were followed-up with a mean follow-up period of （ 11.6 ± 3.7） months. The symptoms were obviously released after operation. The VAS decreased from （5.4 ± 1.3 ） （preoperation） to （ 1. 4 ±0. 9） （6 months postoperation）, and the change was statistically significant （t = 21. 361, P 〈 0. 05 ） ; the mean Harris hip score improved from （65.7 ± 9.9） （preoperation） to （84.1 ± 9.6） （ 6 months postoperation） and the change was also statistically significant （ t = 13. 162, P 〈 0. 05 ）. In addition to 1 case of lateral femoral cutaneous nerve injury, no other complications were observed. Conclusions Active cooperation, excellent postoperative rehabilitation and good clinical outcomes can be achieved by assistance of carefully performed general perioperative nursing for patients underwent hip arthroseopy.