基于加速康复外科策略的手术室护理对行全髋人工关节置换术患者应激反应及康复的影响  

Effects of Operating Room Nursing Based on Accelerated Rehabilitation Surgery Strategy on Stress Response and Rehabilitation of Patients Undergoing Total Hip Arthroplasty

作　　者：江莉萍 陈美玲 王悦 尹剑梅 卞月蕙 王芳[1] JIANG Liping;CHEN Meiling;WANG Yue;YIN Jianmei;BIAN Yuehui;WANG Fang(Operating Room of Surgery,Shanghai Yangpu District Central Hospital,Shanghai,200082,China)

机构地区：[1]上海市杨浦区中心医院外科手术室,上海200082

出　　处：《反射疗法与康复医学》2021年第9期109-112,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨基于加速康复外科策略的手术室护理应用于行全髋人工关节置换术患者中的效果.方法选取2019年4月—2020年9月于该院行全髋人工关节置换术的患者84例为研究对象,按随机数字表法分为对照组42例和观察组42例.对照组采用常规手术室护理,观察组采用基于加速康复外科策略的手术室护理,术后随访1个月.比较两组的手术情况、去甲肾上腺素(norepinephrine,NE)、超氧化物歧化酶(superoxide dismutase,SOD)、血管紧张素(angiotensinⅡ,AngⅡ)、患者满意度及术后并发症发生率.结果观察组的术中体温高于对照组,围术期总失血量少于对照组,术后下床活动时间、住院时间均短于对照组,组间差异有统计学意义(P<0.05).术前,两组的NE、SOD、AngⅡ水平比较,组间差异无统计学意义(P>0.05);术后1 d,观察组的NE、AngⅡ水平均低于对照组,SOD水平高于对照组,组间差异有统计学意义(P<0.05).观察组的各项患者满意度评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的术后并发症率为4.76%,低于对照组的19.05%,差异有统计学意义(P<0.05).结论行全髋人工关节置换术患者采用基于加速康复外科的护理,能有效减轻其应激反应,加速术后康复,减少并发症的发生.Objective To investigate the effect of accelerated rehabilitation surgery strategy in operating room nursing for patients undergoing total hip arthroplasty.Methods A total of 84 patients who underwent total hip arthroplasty in the hospital from April 2019 to September 2020 were selected as the study subjects,and were divided into a control group of 42 cases and an observation group of 42 cases according to random number table method.The control group received conventional operating room nursing,and the observation group received operating room nursing based on accelerated rehabilitation surgery strategy,followed up for 1 month after surgery.The operation indexes,norepinephrine(NE),superoxide dismutase(SOD),angiotensinⅡ(AngⅡ),patient satisfaction and incidence of postoperative complications were compared between the two groups.Results The intraoperative body temperature of the observation group was higher than that of the control group,perioperative total blood loss was less than that of the control group,postoperative ambulation time and hospitalization time were shorter than that of the control group,the differences between the groups were statistically significant(P<0.05).Before operation,there were no significant differences in NE,SOD and AngⅡlevels between the two groups(P>0.05);1 day after operation,the levels of NE and AngⅡin the observation group were lower than those in the control group,and SOD level was higher than that in the control group,the differences between the groups were statistically significant(P<0.05).All patient satisfaction scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The postoperative complication rate of the observation group was 4.76%,lower than 19.05%of the control group,and the difference was statistically significant(P<0.05).Conclusion The nursing based on accelerated rehabilitation surgery can effectively reduce the stress response,accelerate the postoperative recover

关 键 词：加速康复外科 全髋人工关节置换术 应激反应 满意度 并发症 

分 类 号：R472[医药卫生—护理学]