人工全膝关节置换术的护理  

Total Knee Replacement Surgery Care

作　　者：殷薇 邹磊[1] 易凤琼[1] 

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《中外医学研究》2013年第28期85-86,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：国家临床重点专科建设项目经费资助(项目编号:财社【2011】170号);重庆市医学重点学科建设经费资助(项目编号:渝卫科教【2007】2号)

摘　　要：目的：总结全膝关节置换术术前与术后的护理措施，以期减少并发症的发生，促进功能恢复。方法：收集61例全膝关节置换术患者，术前进行b理护理、术前常规准备，术后做好生命体征观察、预防感染、预防并发症、饮食指导、功能锻炼方面等护理，在出院时给予详细指导。结果：所有患者术后切口I期愈合，所有患者术后2-3d开始起床活动，无严重并发症发生，术后2年随访膝关节HSS评分（90．2±8．4）分，与术前比较差异有统计学意义（P〈0．05）。结论：严格和认真的术前和术后护理可以提高手术成功率，减少并发症，提高患者的生活质量。Objective： To reduce the post-operative complications and help function restoration by summarizing the total knee replacement care measures. Method： We collected 61 cases of total knee replacement patients who received mental nursing, regular preoperative preparation, postoperative fatal sign observation, prophylactic anti-biotics application, complications prevention, diet guiding, rehabilitation exercises guiding in the hospital and after discharging and so on.Result： All the incisions healing by first intention, no complications developped, and all the cases began rehabilitation exercises 2-3 days post- operatively.The HSS score was （90.2± 8.4）years＇ follow-up, which showed a significant difference compared with preperation（P〈0.05）.Conclusion： The strict and careful preoperative and postoperative care helps to improve the success rate of surgery, reduce complications and improve the quality of.life of patients.

关 键 词：膝关节 全膝关节置换术 护理 

分 类 号：R473.6[医药卫生—护理学]