老年人工股骨头置换术58例临床护理研究.docVIP

老年人工股骨头置换术58例临床护理研究摘 要 目的：探讨老年人工股骨头置换术的临床治疗与护理效果。方法：收治58例老年人工股骨头置换术患者，连续硬膜外麻醉下手术植入人工股骨头。对术前消除思想顾虑、术后密切观察病情变化以及重视术后功能锻炼的护理情况进行了回顾性分析。结果：本组58例手术顺利并均全部治愈，无护理并发症发生，术后平均住院20天。出院时能离床扶拐下地部分负重，术后下床时间为7天，X线片显示置换位置良好。术后6个月以上随访，没有发现假体松动、下沉、钢丝松动和断裂情况。其中优38例，良15例，差5例。结论：做好老年人工股骨头置换术的护理，可以保证手术的顺利成功，缩短术后卧床及住院时间，减少并发症的发生，从而提高患者的生活质量。 关键词 老年 人工股骨头置换术 护理 doi:10.3969/j.issn.1007-614x.2009.11.204? Abstract Objective:Discussion on the elderly of the artificial femoral head arthroplasty clinical effects of treatment and care.Methods:We have implanted artificial femoral head to 58 cases of the elderly patients,under continuous epidural anesthesia for surgical。We have analyzed retrospectively about elimination their concerns preoperative,close observation the postoperative changes as well as attention to in functional training of clinical nursing situations.Results:58 cases of patients are all through the surgery successfully,and also are all cured with non-care complications. The average length of stay are 20 days。When they discharged,they can help some of weight away from the bed.The time to get out of bed is 7d,X-ray film shows the location of the replacement is good.After more than 6 months follow-up,we did not find prosthesis loosening,subsidence,wire loosening or even fracture situation.The resluts is that 38 cases of excellent,good in 15 cases,5 cases of bad。Conclusion:To do a good job in the femoral head arthroplasty of the elderlypatients care,can ensure the smooth and successful of the surgery,can help shorten the postoperative bed rest and hospitalization time,reduce the incidence of complications and thus improve quality of life of patients. Keywordselderly;the artificial femoral head arthroplasty;care 资料与方法 2006年4月～2008年3月收治住院并实施人工股骨头置换术老年患者58例，男38例，女20例；年龄45～90岁，平均55岁；其中股骨颈骨折32例，股骨头无菌性坏死26例；伴有高血压患者24例，糖尿病6例，慢性支气管炎8例。患者骨折后，多数出现髋部肿痛、功能障碍、下肢呈外旋畸形和内旋畸形。摄片示均有不同程度的股骨颈骨折移位。 方法：58例全部采用连续硬膜外麻醉，侧卧位，患侧向上。术前要对患者做常规检查、药敏试验以及备血等，严格清洁皮肤和备皮。告诉患者术前12小时和6小时要禁食禁水。术前30分钟给予患者