手术室护理路径干预在全髋关节置换术患者中的康复效果观察  

Observation on the Rehabilitation Effect of Nursing Path Intervention in Operating Room in Patients Undergoing Total Hip Replacement

作　　者：崔梦婉 李卫敏 CUI Meng-wan;LI Wei-min(Operating Room,Zhengzhou Orthopaedic Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州市骨科医院手术室,河南郑州450000

出　　处：《黑龙江医学》2022年第15期1892-1894,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨手术室护理路径干预在全髋关节置换术患者中的康复效果。方法:选取2019年1月—2020年6月郑州市骨科医院收治的92例全髋关节置换术患者作为研究对象,依据随机数表法分为对照组和观察组,每组各46例。对照组患者给予围术期常规护理干预,观察组患者采用手术室护理路径干预。两组患者均干预至出院并随访12个月,观察两组患者的围术期相关指标,干预前后视觉模拟评分法(VAS)、髋关节功能(Harris)评分、炎性因子[白细胞介素-1 (IL-1)、白细胞介素-6 (IL-6)和肿瘤坏死因子-α (TNF-α)]水平及干预期间的并发症发生情况。结果:两组患者手术时间、术中出血量比较,观察组手术时间更短,术中出血量更少,差异有统计学意义(t=14.045、10.096,P<0.05)。干预前两组患者VAS、Harris评分比较,差异无统计学意义(t=0.676、0.264,P>0.05);干预后两组患者VAS评分均呈降低状态,且观察组低于对照组,Harris评分呈升高状态,且观察组高于对照组,差异有统计学意义(t=9.018、12.835,P<0.05)。干预前两组患者IL-1、IL-6、TNF-α水平比较,差异无统计学意义(t=0.120、1.009、0.134,P>0.05);干预后两组患者IL-1、IL-6、TNF-α水平较干预前均降低,且观察组低于对照组,差异有统计学意义(t=9.255、13.581、13.177,P<0.05)。两组患者干预期间并发症发生情况比较,观察组并发症总发生率低于对照组,差异有统计学意义(χ^(2)=10.428,P<0.05)。结论:手术室护理路径干预对行全髋关节置换术患者效果较好,能够明显缓解患者疼痛,改善髋关节功能,减轻炎性损伤,促进术后恢复。Objective: To explore the rehabilitation effect of nursing pathway intervention in operating room in patients undergoing total hip replacement. Methods: A total of 92 patients with total hip arthroplasty who were admitted to the hospital from January 2019 to June 2020 were selected as the research objects, and were divided into the control group and the observation group according to the random number table method, with 46 cases in each group. The patients in the control group were given routine nursing intervention in the perioperative period, and the patients in the observation group were given the nursing pathway intervention in the operating room. Both groups were intervened until discharge and were followed up for 12 months. Visual analogue scale(VAS), hip joint function(Harris) score, inflammatory factors(interleukin-1 [IL-1], interleukin-6 [IL-6] and tumor necrosis factor-alpha [TNF-α]) levels and complications during the intervention were observed in the two groups before and after intervention. Results: The operation time of the observation group was shorter, and the intraoperative blood loss was less, and the difference was statistically significant(t=14.045, 10.096, P<0.05). Before intervention, there was no statistically significant difference in VAS and Harris scores between the two groups(t=0.676, 0.264, P>0.05). After the intervention, the VAS scores of the two groups were decreased, and the observation group was lower than the control group, the Harris score was increased, and the observation group was higher than the control group, the difference was statistically significant(t=9.018, 12.835, P<0.05). There was no statistically significant difference in the levels of IL-1, IL-6 and TNF-α between the two groups before intervention(t=0.120, 1.009, 0.134, P>0.05). After the intervention, the levels of IL-1, IL-6 and TNF-α in the two groups were lower than those before the intervention, and the observation group was lower than the control group, the difference was statistically significant(t=9.255

关 键 词：髋部疾病 全髋关节置换术 手术室护理路径 炎性因子 并发症 

分 类 号：R472.3[医药卫生—护理学]