术中强化管理在膝关节镜治疗创伤性膝关节滑膜炎患者中的应用  

Application of Intraoperative Intensive Management in Knee Arthroscopy in the Treatment of Patients with Traumatic Knee Synovitis

作　　者：曹丽 韩坤秀 Cao Li;Han Kunxiu(Qinhuai Medical Operating Room,Eastern Theater General Hospital,Nanjing Jiangsu 210000,China)

机构地区：[1]东部战区总医院秦淮医疗手术室,江苏南京210000

出　　处：《医疗装备》2021年第23期169-171,共3页Medical Equipment

摘　　要：目的探讨术中强化管理在膝关节镜治疗创伤性膝关节滑膜炎患者中的应用效果。方法选取2020年1—9月医院收治的78例创伤性膝关节滑膜炎患者,按随机数字表法分为对照组与观察组,每组39例。两组均采用膝关节镜手术治疗,对照组术中予以常规护理,观察组在此基础上给予术中强化管理,持续观察至患者出院,并于术后随访1个月,比较两组生命体征、膝关节功能及并发症发生情况。结果术前,两组收缩压、心率及舒张压比较,差异均无统计学意义(P>0.05);手术结束时,观察组收缩压、心率及舒张压均低于对照组,差异有统计学意义(P<0.05)。术前,两组膝关节周径及屈伸度比较,差异均无统计学意义(P>0.05);术后1个月,观察组膝关节周径小于对照组,膝关节屈伸度大于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论在膝关节镜手术治疗创伤性膝关节滑膜炎患者期间,在常规护理基础上采取术中强化护理能够使患者的生命体征保持相对稳定,减轻应激反应,降低并发症发生风险,利于术后膝关节功能的恢复。Objective The application effect of intraoperative intensive management in knee arthroscopy in the treatment of patients with traumatic knee synovitis was investigated. Methods A total of 78 patients with traumatic knee synovitis admitted to the hospital from January 2020 to September 2020 were selected and divided into a control group and an observation group according to the random number table, with 39 cases in each group. Both groups were treated with knee arthroscopy. The control group was given routine care during the operation, and the observation group adopted intraoperative intensive managementwas during the operation on this basis. The patients were observed until they were discharged, and they were also followed up for 1 month after the operation. The vital signs, knee joint function, and complications were compared between the two groups. Results Before operation, there were no significant differences in systolic blood pressure(SBP),heart rate(HR), and diastolic blood pressure(DBP) between the two groups(P>0.05);At the end of operation, the observation group’s SBP, HR, and DBP were all lower than those of the control group, and the differences were statistically significant(P<0.05).Before operation, there were no significant differences in knee circumference and degree of flexion and extension between the two groups(P>0.05);1 month after operation, the knee circumference of the observation group was smaller than that of the control group, the degree of flexion and extension of the observation group was larger than that of the control group, with statistically significant differences(P<0.05). The incidence of complications of the observation group was lower than that of the control group, with statistically significant difference(P<0.05). Conclusions Strengthening intraoperative management in knee arthroscopic surgery for patients with traumatic knee synovitis can ensure the stability of vital signs, reduce patients’ stress reaction, reduce the risks of complications and was beneficial to postopera

关 键 词：术中强化管理 创伤性膝关节滑膜炎 膝关节镜 应激反应 膝关节功能 并发症 

分 类 号：R472.3[医药卫生—护理学]