人工全膝关节置换术后膝关节肿胀程度的护理观察

To analysis the nursing methods of swollen knee after total knee replacement operation

目的探究人工全膝关节置换手术患者术后膝关节肿胀的有效护理方法及护理效果。方法对我院2016年5月~2017年5月收治的100例行人工全膝关节置换术患者进行观察,观察患者术后膝关节疼痛程度。根据不同护理方案将患者分为护理组、常规组各50例,护理组给予针对性护理,常规组给予常规疼痛护理。一周后,记录两组患者膝关节肿胀程度、膝关节功能评分(Harris)、膝关节屈曲度数、疼痛视觉模拟法(VAS)、下肢深静脉血栓(DVT)发生率。结果护理组Harris评分、膝关节屈曲度数明显优于常规组(P<0.05);护理组VAS评分、DVT发生率、膝关节肿胀程度明显低于常规组,差异有统计学意义(P<0.05)。结论膝关节疼痛、肿胀是人工全膝关节置换术后常见症状,根据患者肿胀程度给予针对性护理能有效降低DVT发生率,恢复膝关节功能,加速患者的康复进程。

Objective To discuss the effective nursing method of swollen knee after total knee replacement operation patients. Methods This reaserch selected 100 cases of total knee replacement operation patients in our hospital from May 2016 to May 2017,obseived the postoperative knee pain degree. According to the different nursing methods were divided all the patients into the conventional group and the nursing group, 50 cases in each group.The nursing group was given targeted nursing, the conventional group was given routine pain nursing. After a week, recored the degree of knee-joint swelling , knee-joint function score （Harris） the degree of knee-joint flexion, visual analogue （VAS）, lower extremity deep venous thrombosis （DVT）of the two groups. Results The Harris score, knee flexion in the nursing group was significantly better than the conventional group （P〈0.05）; the VAS score, the incidence rate of DVT, the knee- joint swelling degree in the nursing group was significantly lower than the conventional group, the difference was statistically significant （P〈0.05）. Conclusion The knee-joint pain, swelling are common symptoms of total knee arthroplasty patients after operation, according to the degree ofswelling given targeted nursing can effectively reduce the incidence of DVT,restoration the joint function, process convalescent course of patients.