国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
7期
896-899
,共4页
快通道外科理念%髋关节置换%老年
快通道外科理唸%髖關節置換%老年
쾌통도외과이념%관관절치환%노년
Fast track surgery%Hip replacement%Gerontism
目的 尝试将快通道外科(fast track surgery,FTS)理念应用于老年髋关节置换围手术期中护理的安全性和可行性.方法 选择60例在骨科实施髋关节置换手术治疗的老年股骨颈骨折患者,其中2010年1月至12月期间手术的30例患者为对照组,按照传统的方法进行治疗和护理;2011年1月至12月期间手术的30例为观察组,围手术期进行FTS治疗和护理,术后按照3、6、9、12 m四个时段进行随访,由专人运用Harris评分表进行评估,比较两组患者术后2w并发症发生率和髋关节功能康复进程.结果 与对照组比较,观察组术后2w并发症的发生率显著减少,髋关节功能康复进程加快,两组比较差异有统计学意义(P＜0.05).结论 将FTS理念应用于老年髋关节置换手术患者的护理是安全可行的,减少了并发症的发生,加速了患者康复进程.
目的 嘗試將快通道外科(fast track surgery,FTS)理唸應用于老年髖關節置換圍手術期中護理的安全性和可行性.方法 選擇60例在骨科實施髖關節置換手術治療的老年股骨頸骨摺患者,其中2010年1月至12月期間手術的30例患者為對照組,按照傳統的方法進行治療和護理;2011年1月至12月期間手術的30例為觀察組,圍手術期進行FTS治療和護理,術後按照3、6、9、12 m四箇時段進行隨訪,由專人運用Harris評分錶進行評估,比較兩組患者術後2w併髮癥髮生率和髖關節功能康複進程.結果 與對照組比較,觀察組術後2w併髮癥的髮生率顯著減少,髖關節功能康複進程加快,兩組比較差異有統計學意義(P＜0.05).結論 將FTS理唸應用于老年髖關節置換手術患者的護理是安全可行的,減少瞭併髮癥的髮生,加速瞭患者康複進程.
목적 상시장쾌통도외과(fast track surgery,FTS)이념응용우노년관관절치환위수술기중호리적안전성화가행성.방법 선택60례재골과실시관관절치환수술치료적노년고골경골절환자,기중2010년1월지12월기간수술적30례환자위대조조,안조전통적방법진행치료화호리;2011년1월지12월기간수술적30례위관찰조,위수술기진행FTS치료화호리,술후안조3、6、9、12 m사개시단진행수방,유전인운용Harris평분표진행평고,비교량조환자술후2w병발증발생솔화관관절공능강복진정.결과 여대조조비교,관찰조술후2w병발증적발생솔현저감소,관관절공능강복진정가쾌,량조비교차이유통계학의의(P＜0.05).결론 장FTS이념응용우노년관관절치환수술환자적호리시안전가행적,감소료병발증적발생,가속료환자강복진정.
Objective To analyze the security and feasibility of fast track surgery (FTS) concept applied to the elderly hip replacement perioperative period nursing.Methods Using controlled clinical studies,we selected 60 patients in our hospital orthopaedic implement hip replacement surgery in elderly patients with femoral neck fracture,including nursing during the period from January to December 2010 30 patients in the control group (traditional group),according to the traditional methods for treatment and care; operation during the period from January to December 2011 30 cases as the observation group,perioperative fast channel treatment and nursing care,postoperative according to 3 m,6 m,9 m and 12 m of four period follow-up,applied to evaluate Harris scale,we compared two groups of patients with postoperative complication rate of 2 w and the hip joint function rehabilitation process.Results Compared with the control group,observation group significantly reduced the incidence of postoperative complications of 2 w,the hip joint function rehabilitation process was accelerated,the comparative difference was statistically significant (P ＜ 0.05).Conclusion Applying the idea of FTS in elderly patients with hip replacement surgery nursing is safe and feasible,and it can reduce the complications,and accelerate the process.
