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快速康复在老年病人股骨头置换术后护理的应用

Application of rapid rehabilitation during post-operative care of femoral headreplacement in elderly patients
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摘要 目的 对快速康复在老年病人股骨头置换术后护理中的应用效果进行分析和探讨.方法 以西安交通大学第一附属医院2016 年4 月至2017 年4 月期间收治的72 例行股骨头置换术治疗的老年患者为研究对象,随机分组,两组患者均接受相同的常规术后护理,在此基础上,再给予观察组患者快速康复护理,比较两组患者临床护理效果.结果 观察组患者拔管、下床以及住院所用时间显著短于对照组患者(P 〈 0.05);此外,相较于对照组患者,观察组患者Harris 评分更高、ROM 数值更大、VAS评分更低(P 〈 0. 05),不良事件发生率更少(P 〈 0. 05).结论 快速康复在老年病人股骨头置换术后护理中有着十分显著的应用效果,可有效改善患者各项临床症状,缩短患者预后时间、提高预后质量,减少不良事件发生率,推荐使用. Objective To a nalyze a nd d iscuss t he application effect of r apid rehabilitation t o t he care following femoralhead replacement in elderly patients. Methods 72 elderly patients with femoral head replacement treated from April 2016 toApril 2017 in first affiliated hospital of Xi’an Jiaotong University were analyzed. They were randomly divided into two groups,control group and observation group, both treated with conventional post-operative care. Rapid rehabilitation was speciallyprovided to observation group to compare the effect of clinical care between the above two groups. Results The time used forextubation, out of bed and hospitalization in observation group was significantly shorter than it took in control group (P〈0.05).Moreover, compared to control group, observation group owned higher Harris score, larger POM valule, lower VAS score(P〈0.05) and less adverse events incidence. Conclusion The application effect of rapid rehabilitation during the post-operativecare of femoral head replacement in elderly patients was notably increased. Each clinical symptoms could be highly improved,the prognosis time was shortened, the prognosis quality was improved, and the adverse events incidence was decreased. Themethod was valuable to be recommended.
作者 贾进娥
出处 《临床研究》 2017年第8期121-122,124,共3页 Clinical Research
关键词 快速康复 老年 人股骨头置换术 护理 效果 rapid rehabilitation, elderly, femoral head replacement, nursing, effect
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