Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the ...Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the elderly.Methods:Sixty elderly patients who had undergone hip fracture surgery from February 2021 to February 2022 were selected as the research subjects.The patients were divided into two groups via drawing lots.Both the groups received nursing care,but the patients in the observation group were treated with TCM acupoint application combined with pneumatic compression therapy,whereas the control group received pneumatic compression therapy.The evaluation indicators included the patients’quality of life and complications.Results:The incidence of lower extremity deep vein thrombosis in the observation group was more than twice(0.3%),whereas the incidence of lower extremity complications in the control group was more than 6 times(20%).There was a significant difference between the two groups(p<0.05).Conclusion:Traditional Chinese medicine acupoint application combined with pneumatic compression therapy is beneficial for the prevention of postoperative lower extremity deep vein thrombosis among elderly patients.In addition,the patients’overall quality-of-life scores in both physiological and psychological aspects improved significantly,which carries significant clinical reference value.展开更多
combined with sufentanil in elderly patients undergoing hip replacement.Methods:89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control grou...combined with sufentanil in elderly patients undergoing hip replacement.Methods:89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control group.The experimental group was anesthetized with light specific gravity ropivacaine combined with sufentanil.The control group was anesthetized with equal specific gravity ropivacaine to compare the effect of anesthesia and the incidence of adverse reactions.Results:there was no significant difference in sensory recovery time and motor recovery time between the experimental group and the control group(P>0.05),and the incidence of adverse reactions between the two groups was low.The sensory block time in the experimental group was shorter than that in the control group(PP>0.05).Conclusion:ropivacaine combined with sufentanil subarachnoid anesthesia is more effective in elderly patients undergoing hip arthroplasty,and the safety of the anesthesia scheme is higher,which will not lead to serious adverse reactions during operation.Moreover,the application of the anesthesia scheme can effectively improve the analgesic effect during and after operation,and the clinical application value is high.展开更多
探讨心理护理对老年患者全髋关节置换(total hip arthroplasty,THA)术后的疼痛管理、心理健康以及下肢功能恢复的影响。选取92例单侧THA术后的老年患者为研究对象,将患者随机分为对照组和实验组,每组各46例,两组患者住院期间均实施一般...探讨心理护理对老年患者全髋关节置换(total hip arthroplasty,THA)术后的疼痛管理、心理健康以及下肢功能恢复的影响。选取92例单侧THA术后的老年患者为研究对象,将患者随机分为对照组和实验组,每组各46例,两组患者住院期间均实施一般康复护理,并且出院后均实施为期6个月的延续性护理,实验组在此基础上加以心理护理,包括住院期间的心理护理以及出院后为期6个月的延续性心理护理。比较两组患者在疼痛评分、心理健康评估和下肢功能恢复方面的差异。结果显示,实验组患者疼痛评分、心理健康评分和下肢功能恢复情况均显著优于对照组(P<0.05)。研究发现,心理护理对老年患者THA术后的疼痛管理、心理健康以及下肢功能恢复有显著的积极影响,可提高老年患者THA术后的整体康复质量,应得到重视和应用。展开更多
为探讨人工关节置换手术对老年创伤性髋部骨折患者的效果评价。选择2021年7月—2022年7月仁怀市人民医院收治的76例老年创伤性髋部骨折病患为研究对象,应用抽签法,将其分为参照组和试验组,参照组(n=38)应用防旋股骨近端髓内钉(Proximal ...为探讨人工关节置换手术对老年创伤性髋部骨折患者的效果评价。选择2021年7月—2022年7月仁怀市人民医院收治的76例老年创伤性髋部骨折病患为研究对象,应用抽签法,将其分为参照组和试验组,参照组(n=38)应用防旋股骨近端髓内钉(Proximal Femoral Nail Antirotation,PFNA)内固定术,试验组(n=38)应用人工关节置换术治疗。检验各组患者康复指标、VAS评分、并发症等。结果显示,术前,各组患者疼痛评分、HHS评分、ADL评分无显著区别(P>0.05);术后,除手术耗时外,试验组其余手术与康复指标、VAS评分、并发症发生率均比参照组低,试验组HHS、ADL、生活质量评分比参照组高,差异具有统计学意义(P<0.05)。研究发现,人工关节置换手术的应用,有利于提高老年创伤性髋部骨折患者的髋关节功能,还可降低术后并发症的发生率,有助于减轻患者的疼痛感。展开更多
目的探讨右美托咪定对腰麻下老年患者髋关节置换术后认知功能障碍的影响。方法选择在腰麻下择期行髋关节置换,且ASA分级Ⅰ~Ⅲ级的老年患者40例,随机分为右美托咪定组及对照组,每组20例。右美托咪定组患者麻醉后予以右美托咪定以1μg/kg...目的探讨右美托咪定对腰麻下老年患者髋关节置换术后认知功能障碍的影响。方法选择在腰麻下择期行髋关节置换,且ASA分级Ⅰ~Ⅲ级的老年患者40例,随机分为右美托咪定组及对照组,每组20例。右美托咪定组患者麻醉后予以右美托咪定以1μg/kg静脉注射,维持浓度为0.5μg·kg^(-1)·h^(-1);对照组患者以同样方式泵注生理盐水。记录2组患者术前1 d、术后3 d、7 d MMSE评分;检测手术开始前(T0)、手术结束时(T1)、术后第3天(T2)、第7天(T3)静脉血TNF-α、IL-6、MDA水平。结果术前2组患者MMSE评分差异无统计学意义(P>0.05),术后第3天2组患者MMSE评分比较差异有统计学意义(P<0.05),术后第7天2组评分恢复正常。2组患者血清TNF-α、IL-6、MDA水平在T0时差异无统计学意义(P>0.05),对照组患者TNF-α、IL-6、MDA在T1、T2与同组T0水平相比升高明显,差异有统计学意义(P<0.05),右美托咪定组IL-6在T1与同组T0水平相比有所下降,差异有统计学意义(P<0.05);右美托咪定组患者T1、T2时的TNF-α、IL-6及T2时的MDA水平均低于对照组,差异有统计学意义(P<0.05)。结论静脉注射右美托咪定可以降低腰麻下老年患者髋关节置换术术后血清TNF-α、IL-6、MDA水平,减少术后认知功能障碍的发生。展开更多
文摘Objective:To investigate and analyze the long-term clinical effects of acupoint application combined with pneumatic compression therapy in the prevention of deep venous thrombosis after hip fracture surgery among the elderly.Methods:Sixty elderly patients who had undergone hip fracture surgery from February 2021 to February 2022 were selected as the research subjects.The patients were divided into two groups via drawing lots.Both the groups received nursing care,but the patients in the observation group were treated with TCM acupoint application combined with pneumatic compression therapy,whereas the control group received pneumatic compression therapy.The evaluation indicators included the patients’quality of life and complications.Results:The incidence of lower extremity deep vein thrombosis in the observation group was more than twice(0.3%),whereas the incidence of lower extremity complications in the control group was more than 6 times(20%).There was a significant difference between the two groups(p<0.05).Conclusion:Traditional Chinese medicine acupoint application combined with pneumatic compression therapy is beneficial for the prevention of postoperative lower extremity deep vein thrombosis among elderly patients.In addition,the patients’overall quality-of-life scores in both physiological and psychological aspects improved significantly,which carries significant clinical reference value.
文摘combined with sufentanil in elderly patients undergoing hip replacement.Methods:89 elderly patients with hip arthroplasty from July 2019 to September 2020 were randomly divided into experimental group and control group.The experimental group was anesthetized with light specific gravity ropivacaine combined with sufentanil.The control group was anesthetized with equal specific gravity ropivacaine to compare the effect of anesthesia and the incidence of adverse reactions.Results:there was no significant difference in sensory recovery time and motor recovery time between the experimental group and the control group(P>0.05),and the incidence of adverse reactions between the two groups was low.The sensory block time in the experimental group was shorter than that in the control group(PP>0.05).Conclusion:ropivacaine combined with sufentanil subarachnoid anesthesia is more effective in elderly patients undergoing hip arthroplasty,and the safety of the anesthesia scheme is higher,which will not lead to serious adverse reactions during operation.Moreover,the application of the anesthesia scheme can effectively improve the analgesic effect during and after operation,and the clinical application value is high.
文摘探讨心理护理对老年患者全髋关节置换(total hip arthroplasty,THA)术后的疼痛管理、心理健康以及下肢功能恢复的影响。选取92例单侧THA术后的老年患者为研究对象,将患者随机分为对照组和实验组,每组各46例,两组患者住院期间均实施一般康复护理,并且出院后均实施为期6个月的延续性护理,实验组在此基础上加以心理护理,包括住院期间的心理护理以及出院后为期6个月的延续性心理护理。比较两组患者在疼痛评分、心理健康评估和下肢功能恢复方面的差异。结果显示,实验组患者疼痛评分、心理健康评分和下肢功能恢复情况均显著优于对照组(P<0.05)。研究发现,心理护理对老年患者THA术后的疼痛管理、心理健康以及下肢功能恢复有显著的积极影响,可提高老年患者THA术后的整体康复质量,应得到重视和应用。
文摘为探讨人工关节置换手术对老年创伤性髋部骨折患者的效果评价。选择2021年7月—2022年7月仁怀市人民医院收治的76例老年创伤性髋部骨折病患为研究对象,应用抽签法,将其分为参照组和试验组,参照组(n=38)应用防旋股骨近端髓内钉(Proximal Femoral Nail Antirotation,PFNA)内固定术,试验组(n=38)应用人工关节置换术治疗。检验各组患者康复指标、VAS评分、并发症等。结果显示,术前,各组患者疼痛评分、HHS评分、ADL评分无显著区别(P>0.05);术后,除手术耗时外,试验组其余手术与康复指标、VAS评分、并发症发生率均比参照组低,试验组HHS、ADL、生活质量评分比参照组高,差异具有统计学意义(P<0.05)。研究发现,人工关节置换手术的应用,有利于提高老年创伤性髋部骨折患者的髋关节功能,还可降低术后并发症的发生率,有助于减轻患者的疼痛感。
文摘目的探讨右美托咪定对腰麻下老年患者髋关节置换术后认知功能障碍的影响。方法选择在腰麻下择期行髋关节置换,且ASA分级Ⅰ~Ⅲ级的老年患者40例,随机分为右美托咪定组及对照组,每组20例。右美托咪定组患者麻醉后予以右美托咪定以1μg/kg静脉注射,维持浓度为0.5μg·kg^(-1)·h^(-1);对照组患者以同样方式泵注生理盐水。记录2组患者术前1 d、术后3 d、7 d MMSE评分;检测手术开始前(T0)、手术结束时(T1)、术后第3天(T2)、第7天(T3)静脉血TNF-α、IL-6、MDA水平。结果术前2组患者MMSE评分差异无统计学意义(P>0.05),术后第3天2组患者MMSE评分比较差异有统计学意义(P<0.05),术后第7天2组评分恢复正常。2组患者血清TNF-α、IL-6、MDA水平在T0时差异无统计学意义(P>0.05),对照组患者TNF-α、IL-6、MDA在T1、T2与同组T0水平相比升高明显,差异有统计学意义(P<0.05),右美托咪定组IL-6在T1与同组T0水平相比有所下降,差异有统计学意义(P<0.05);右美托咪定组患者T1、T2时的TNF-α、IL-6及T2时的MDA水平均低于对照组,差异有统计学意义(P<0.05)。结论静脉注射右美托咪定可以降低腰麻下老年患者髋关节置换术术后血清TNF-α、IL-6、MDA水平,减少术后认知功能障碍的发生。
