CAJ | 학술논문

目的：探讨一期翻修术治疗全膝关节置换术后感染的护理干预方案。方法选择2005年4月-2012年12月在新疆医科大学第一附属医院经一期翻修术治疗全膝关节置换术后感染54例患者，制订适合膝关节翻修手术的护理干预方案，特别是患者的病情观察、术区护理、引流管护理、感染控制、合理使用抗生素、个性化的功能锻炼等方面。结果54例行一期膝关节翻修手术的患者，经过手术治疗及护理干预后，52例伤口均一期愈合，术后2 w 出院时均可扶拐行走，无明显疼痛和关节不稳，住院期间无跌倒、坠床、压疮、下肢深静脉血栓等并发症，患肢功能均恢复良好。2例功能欠佳，KSS 功能评分平均50分，其余52例至末次随访时 KSS 功能评分平均94分。患者满意度达到了92．6％。结论人工膝关节置换术后感染行一期翻修手术的护理干预方案有效、可行，可促使患者患肢功能得到最大限度地恢复。患者对围手术期的治疗、护理、康复效果均感到满意。
목적：탐토일기번수술치료전슬관절치환술후감염적호리간예방안。방법선택2005년4월-2012년12월재신강의과대학제일부속의원경일기번수술치료전슬관절치환술후감염54례환자，제정괄합슬관절번수수술적호리간예방안，특별시환자적병정관찰、술구호리、인류관호리、감염공제、합리사용항생소、개성화적공능단련등방면。결과54례행일기슬관절번수수술적환자，경과수술치료급호리간예후，52례상구균일기유합，술후2 w 출원시균가부괴행주，무명현동통화관절불은，주원기간무질도、추상、압창、하지심정맥혈전등병발증，환지공능균회복량호。2례공능흠가，KSS 공능평분평균50분，기여52례지말차수방시 KSS 공능평분평균94분。환자만의도체도료92．6％。결론인공슬관절치환술후감염행일기번수수술적호리간예방안유효、가행，가촉사환자환지공능득도최대한도지회복。환자대위수술기적치료、호리、강복효과균감도만의。
Objective Discuss the nursing intervention programs in the first-stage revision surgery for total knee arthroplasty postoperative infection.Methods We collected 54 cases with infection after total knee arthroplasty from April 2005 to December 2012.The patients received the first-stage revision surgery to treat the postoperative infection.And then we worked out suitable nursing intervention programs for them. The nursing programs focused on disease observation,nursing on operation area and drainage tube,infec-tion control,and personalized functional exercise.Results Among 54 patients who received the first-stage revision surgery and nursing intervention treatment perioperatively,52 cases recovered completely and were discharged from hospitals after 2 weeks.But 2 cases could not function well after the treatment,and the KSS score is 50 by average.The KSS score for the other 52 cases reached 94 on average.The patients′satisfaction with the treatment is up to 92.6%.Conclusion The nursing intervention programs in the first-stage revision surgery for total knee arthroplasty postoperative infection are effective and feasible and helpful in patients'maximum recovery.Patients are very satisfied with the result of treatment,nursing and recovery.