人工髋关节置换规范化手术配合.docVIP

人工髋关节置换规范化手术配合【摘要】目的 通过对人工髋关节置换术患者进行规范化的手术配合，观察人工髋关节置换术程序化和规范化手术配合的效果。资料和方法 对四川省自贡市第三人民医院骨科中心2003年３月～2010年12月诊疗采用人工髋关节置换术的116例患者进行了程序化和规范化的手术配合，术前了解手术方法，充分做好患者、手术间及器械物品的准备，术中根据要求做好全面护理配合。结果 116例病例经术后6～24个月(平均12.3月)随访，Harris 评分表明术后髋关节功能恢复良好，至术后12个月髋关节功能基本恢复正常（术后12个月Harris评分62～93分，平均88.23分。80分以上的89例, 优良率76.7%）。结论 人工髋关节置换术程序化和规范化的手术配合行之有效，能保证术中安全，减少并发症的发生，预防感染，提高手术成功率 【关键词】人工髋关节置换 规范化 手术配合 中图分类号：R472.3 文献标识码：A 文章编号：1005-0515（2012）1-011-02 Normalized operative cooperation for Total hip arthroplasty LIU Yuying （Zigong Third People’s Hospital, Zigong, Sichuan 643020, China） 【Abstract】Objective To explore the effect of normalized operative cooperation for total hip arthroplasty (THA) given to patients . Methods In view of the nursing procedure, some normalized measures of operative cooperation, such as Pre understanding of surgical methods, fully understanding preoperative patients, operation and completes instrument, prepare goods required , do a good job according to the requirements of operation with good comprehensive care, were performed in 116 cases with THA in Orthopedics of Zigong third people?s hospital from March 2003 to December 2010. Results Through six to twenty-four months follow-up (the mean follow-up period was 12.3 months), The result of Harris evaluation indicated the 116 cases patients of THA obtained good function recovery of the hip joint after operation and restored their function within 12 months ( The result of Harris evaluation was 62~93 scores. Average 88.23 scores. There are 89 patients’ postoperative outcomes were satisfactory, the HHS is more than 80 scores. excellent and good rate were 76.7%). Conclusion The normalized operative cooperation is effective to patients of THA. It is helpful for Surgical safety , it ensure the success of operation, prevent infection and reduce complications. 【Keywords】total hip arthroplasty operative cooperation normalization 人工髋关节置换术可以较快速地重建髋关节功能，由于患者多为老年人，身体抵抗力差，多伴有心脑血管疾病，增加了手术难度和风险，手术的顺利完成