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目的探讨人工全髋关节置换术治疗非功能位骨性强直髋的围手术期护理配合。方法对2009年9月-2014年12月新疆医科大学第一附属医院关节外科收治的14例非功能位骨性强直髋患者行人工全髋关节置换术治疗并配合正确、有效的围手术期护理,总结分析护理人员在围手术期护理特色和效果。结果 14例患者手术时间平均65min,术中出血量平均为200mL。经围手术期术前、术中、术后护理配合,术后14例患者术区切口均愈合良好,无一例患者发生神经损伤、血管损伤、下肢深静脉血栓形成、术后人工关节假体脱位及假体周围感染等并发症。出院后1、3、6、12个月随访患者关节功能基本恢复,生活可以自理。结论人工全髋关节置换术是治疗非功能位骨性强直髋患者的有效方法,正确有效的围手术期护理是保证人工髋关节置换手术后患者康复的关键。
Objective To investigate the perioperative nursing cooperation of total hip arthroplasty in the treatment of nonfunctional orthopedic hip. Methods From September 2009 to December 2014, 14 cases of non-functional orthopedic hip patients admitted to the First Affiliated Hospital of Xinjiang Medical University underwent total hip arthroplasty and received correct and effective perioperative nursing , Summarizes the analysis of nurses in perioperative nursing features and effects. Results The average operation time of 14 patients was 65 minutes. The mean amount of blood loss during operation was 200 mL. Perioperative preoperative, intraoperative and postoperative care and cooperation, postoperative 14 patients with surgical incision healed well, no case of nerve injury, vascular injury, deep vein thrombosis, postoperative prosthetic joint dislocation And prosthesis infection and other complications. Follow-up 1,3,6,12 months after discharge, patients with basic recovery of joint function, life can take care of themselves. CONCLUSION: Total hip arthroplasty is an effective method for the treatment of patients with non-functional orthopedic hip. The correct and effective perioperative nursing is the key to the rehabilitation of patients after artificial hip replacement.