踝关节融合术治疗后踝关节创伤性关节炎围手术期护理研究  

Study on the perioperative nursing of traumatic arthritis of ankle joint after ankle fusion

作　　者：王小芳 刘丹 张靖 WANG Xiaofang;LIU Dan;ZHANG Jing(Department of Orthopedics,the Second Affiliated Hospital of Air Force Military Medical University of the Chinese People’s Liberation Army,Shaanxi Province,Xi’an710068,China)

机构地区：[1]中国人民解放军空军军医大学第二附属医院骨科,陕西西安710068

出　　处：《中国医药导报》2023年第14期163-166,共4页China Medical Herald

基　　金：陕西省自然科学基础研究计划项目(2021JZ-59)。

摘　　要：目的探究踝关节融合术治疗后的踝关节创伤性关节炎的围手术期护理效果。方法选取2016年5月至2021年4月在中国人民解放军空军军医大学第二附属医院行踝关节融合术治疗的108例踝关节创伤性关节炎患者为研究对象。应用信封法将患者分为对照组和观察组,各54例。两组各实施常规护理,观察组在此基础上实施围手术期护理。比较两组术后1 d、2周踝关节背伸与跖屈活动度、并发症及踝关节功能情况。结果术后2周,两组踝关节背伸、跖屈活动度高于术后1 d,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。术后2周,两组踝关节功能评分高于术后1 d,且观察组高于对照组,差异有统计学意义(P<0.05)。结论踝关节融合术治疗踝关节创伤性关节炎实施围手术期护理后,不仅能提高踝关节背伸、跖屈活动度,还能降低术后并发症发生风险,促进踝关节功能的恢复。Objective To explore the perioperative nursing of traumatic arthritis of ankle after ankle fusion.Methods A total of 108 patients with traumatic arthritis of ankle who underwent ankle fusion surgery in the Second Affiliated Hospital of Air Force Military Medical University of the Chinese People’s Liberation Army from May 2016 to April 2021 were selected as examples,and they were divided into control group and observation group by envelope method,with 54 cases in each group.The two groups were given routine nursing,and the observation group was given perioperative nursing on this basis.Ankle dorsiflexion and plantar flexion motion,complications and ankle function were compared between the two groups one day and two weeks after surgery.Results Two weeks after surgery,the ankle dorsalis extension and plantar flexor motion of the two groups were higher than those of the first day after surgery,and those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Two weeks after surgery,the ankle joint function score of the two groups were higher than those of the first day after surgery,while that of the observation group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion After perioperative nursing for traumatic arthritis of ankle joint,ankle joint fusion can not only improve the dorsalis extension and plantar flexor motion of ankle joint,but also reduce the risk of postoperative complications and promote the recovery of ankle joint function.

关 键 词：踝关节融合术 踝关节创伤性关节炎 围手术期护理 踝关节背伸 踝关节跖屈 关节僵硬 

分 类 号：R473[医药卫生—护理学]