围手术期护理在同期双侧人工全膝关节置换术患者中的应用效果分析

Analysis of application effect by perioperative nursing in simultaneous bilateral total knee arthroplasty patients

目的 探讨对行同期双侧人工全膝关节置换术患者采用围手术期护理干预的临床效果。方法 选取36例全膝关节炎患者作为研究对象,所有患者均行同期双侧人工全膝关节置换术,回顾性分析患者的临床症状以及活动功能的恢复情况,并以此为基础提供围手术期护理干预。结果 接受关节置换术的36例患者均于术后6-12个月进行随访观察,满意36例,满意度为100%。关节置换术后,通过行围手术期护理干预,肢体活动评分由置换前的（31.5±2.4）分提高到（79.3±3.6）分,差异有统计学意义（P〈0.05）。置换术后行围术期护理,患者并未出现下肢深静脉血栓、假体松动以及切口感染等不良反应。结论 对全膝性关节炎患者行同期双侧人工全膝关节置换术和围手术期护理干预,能够在一定程度上缩短患者的住院时间,加快患者的恢复速度,具有一定的有效性和安全性,进一步减轻对患者造成心理和生理方面的负面影响。

Objective To investigate clinical effect by perioperative nursing in simultaneous bilateral total knee arthroplasty patients. Methods A total of 36 patients with total knee arthritis as study subjects all received simultaneous bilateral total knee arthroplasty. Their clinical symptoms and movement recovery were retrospectively analyzed to provide perioperative nursing. Results All 36 patients received follow-up inpostoperative 6-12 months, which showed 36 satisfactory cases and satisfaction degree as 100%. After operation, perioperative nursing improved physical activity score from （31.5 ± 2.4） points to （79.3 ± 3.6） points, and the difference had statistical significance （P〈0.05）. During perioperative nursing after operation, there was no adverse reaction of deep venous thrombosis, prosthetic loosening and incision infection. Conclusion Implement of simultaneous bilateral total knee arthroplasty and perioperative nursing for patients with total knee arthritis can shorten their hospital stay time, accelerate recovery speed, along with certain effectiveness and safety. This method can further reduce negative psychological and physical impact.