中医精细化护理方案在全膝关节置换术围手术期的效果观察

Clinical Observation of Chinese Medicine Refined Nursing of Total Knee Arthroplasty in Perioperative Period

目的:观察中医精细化护理方案在全膝关节置换术(TK A)围手术期的临床效果。方法:将6 0例行TK A治疗的患者随机分为试验组和对照组,每组3 0例。对照组予常规护理方案,试验组予中医精细化护理方案。分别记录2组术后3、7天视觉模拟评分法(VAS)评分、膝关节屈伸活动度、美国纽约特种外科医院(HS S)、焦虑自评量表(S AS)评分。结果:术后3、7天,试验组VAS及S AS评分均低于对照组,HS S评分均高于对照组,膝关节屈伸活动度均大于对照组,差异均有统计学意义(P<0.01)。结论:中医精细化护理方案与常规护理方案相比,可加快患者膝关节功能及屈伸活动度恢复,减轻疼痛和焦虑。

Objective： To observe the clinical effect of Chinese medicine refined nursing of total knee arthroplasty（TKA） in perioperative period. Methods： Divided 60 cases of patients who received TKA treatment into the experiment group and the control group randomly,30 cases in each group. The control group was given routine nursing,while the experiment group was given Chinese medicine refined nursing. Recorded the visual analogue scale（VAS） scores and scores of range of motion of knee flexion and extension,hospital for special surgery（HSS） and self-rating anxiety scale（SAS） three and seven days after operation in the two groups respectively.Results： Three and seven days after operation, the scores of VAS and SAS in the experiment group were lower than those in the control group,while the HSS scores were higher than those in the control group and the range of motion of knee flexion and extension was wider than that in the control group, differences being significant（P〈0.01）. Conclusion： Compared with the routine nursing,Chinese medicine refined nursing can accelerate the recovery of knee joint function and flexion and extension activity of patients and relieve pain and anxiety.