CAJ | 학술논문

目的：探讨老年髋关节置换术围术期并发症及护理对策。方法回顾性分析150例老年患者行髋关节置换术后围术期出现的并发症、处理方法及护理对策。结果150例患者中出现骨水泥反应不同程度低血压12例，术后谵妄表现15例，深静脉血栓13例，肺栓塞2例，关节脱位3例，经过及时有效的治疗和护理，除1例肺栓塞患者、1例关节脱位患者抢救无效死亡外，其余均好转出院。结论围术期有预见性预防及治疗并发症，并护理得当，可使老年髋关节置换患者顺利度过围术期，减少并发症发生，提高临床治愈率。
목적：탐토노년관관절치환술위술기병발증급호리대책。방법회고성분석150례노년환자행관관절치환술후위술기출현적병발증、처리방법급호리대책。결과150례환자중출현골수니반응불동정도저혈압12례，술후섬망표현15례，심정맥혈전13례，폐전새2례，관절탈위3례，경과급시유효적치료화호리，제1례폐전새환자、1례관절탈위환자창구무효사망외，기여균호전출원。결론위술기유예견성예방급치료병발증，병호리득당，가사노년관관절치환환자순리도과위술기，감소병발증발생，제고림상치유솔。
Objective Ti explire the periiperative cimplicatiins and nursing ciuntermea-sures in elderly patients with hip replacement.Methods The periiperative cimplicatiins,han-dling methid and nursing ciuntermeasures if 150 senile patients with hip replacement were retri-spectively analyzed.Results In all patients,there were 12 patients with varying degrees if liwer bliid pressure because if bine cement reactiin,15 patients with delirium,13 patients with thrim-bisis if deep vein,2 patients with pulminary embilism,3 patients with dislicatiin if hip jiint. After timely and effective nursing,there were 1 patient with pulminary embilism and 1 dead pa-tient caused by dislicatiin if hip jiint,and the ithers were all healed.Conclusions Predictive preventiin frim the periiperative cimplicatiins with priper nursing ciuntermeasures can help se-nile patients ti get thriugh periiperative periid,prevent pistiperative cimplicatiin and ti imprive the clinical curative rate.