临床护理干预在全髋关节置换术患者自体血回输中的应用效果

Effect of Clinical Nursing Intervention on Autologous Blood Transfusion in Patients Undergoing Total Hip Replacement

目的:观察全髋关节置换术中自体血回输的护理干预效果。方法:选取本院外科2017年3月-2018年3月收治的56例股骨头坏死患者,全部患者均行全髋关节置换术治疗,术中接受自体血回输,将其随机分为两组,各28例。对照组采用常规护理,观察组在常规护理基础上实施护理干预,干预后比较两组临床相关指标、并发症发生情况及护理满意度。结果:观察组,输液量[(703.27±105.69)mL]少于对照组[(2 135.34±392.52)mL],凝血酶原时间[(11.31±1.78)s]短于对照组[(15.35±2.54)s],差异均有统计学意义(P<0.05);观察组血红蛋白[(119.25±24.56)g/L]、红细胞比容[(0.33±0.05)L/L]和血小板计数[(175.37±31.29)×10~9/L]均高于对照组[(104.21±18.65)g/L、(0.24±0.04)L/L、(105.36±18.47)×10~9/L],差异均有统计学意义(P<0.05);观察组并发症发生率(10.71%)低于对照组(39.29%),差异有统计学意义(P<0.05);观察组护理满意度(100%)高于对照组(82.14%),差异有统计学意义(P<0.05)。结论:在全髋关节置换术中自体血回输治疗期间对患者实施临床护理干预能够有效促进患者凝血功能恢复,降低并发症发生率,提升护理满意度,预后良好。

Objective:To observe the nursing intervention effect of autologous blood transfusion during total hip arthroplasty.Method:56 cases of femoral head necrosis in our hospital from March 2017 to March 2018 were selected.All patients underwent total hip arthroplasty and received autologous blood transfusion during operation. They were randomly divided into two groups,28 cases in each group.The control group was given routine nursing, the observation group was given nursing intervention on the basis of routine nursing.The clinical related indicators, complications and nursing satisfaction of patients of two group were also analyzed.Result:In observation group,the infusion volume [(703.27±105.69)mL] was lower than that of the control group[(2 135.34±392.52)mL],the prothrombin time[(11.31±1.78)s] was shorter than that in control group[(15.35±2.54)s],the differences were statistically significant(P<0.05).In observation group,hemoglobin [(119.25±24.56)g/L],red blood cells specific volume[(0.33±0.05)L/L]and the platelet count[(175.37±31.29)×109/L] were higher than those of the control group[(104.21±18.65)g/L,(0.24±0.04)L/L,(105.36±18.47)×109/L],the differences were statistically significant(P<0.05).The incidence of complications observed(10.71%)was lower than that of the control group(39.29%),the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group(100%)was higher than that of the control group(82.14%),the difference was statistically significant(P<0.05).Conclusion:Clinical nursing intervention during autologous blood transfusion in total hip arthroplasty can effectively promote the recovery of coagulation function,reduce the incidence of complications, improve nursing satisfaction and have a good prognosis.