78例老年人全髋关节置换术护理体会.docVIP

78例老年人全髋关节置换术护理体会[摘要] 目的：增加全髋关节置换术的印象，对老年人全髋关节置换术更全面地了解。方法：选取2008年1月~2010年12月本院接收的78例老年人全髋关节置换术患者，对其护理进行相关分析和总结，对于护理全髋关节置换术的护理程序和护理体会进行简要介绍。结果：通过对患者术前和术后进行精心治疗和护理，都取得较为满意的效果，并且无1例死亡患者和严重并发症发生。术后对患者进行半年的随访观察，患者均恢复了正常行走能力，78例患者均有不同程度的疼痛缓解或者消失。根据随访回馈统计数据表明，63例患者表示效果显著，仅有15例患者表示恢复较慢，髋关节置换术的优良率为76.7％，手术效果满意。全髋关节置换术对缓解老年患者的病痛和生理功能的改善均收到较为满意的效果。结论：护理对于老年人髋关节置换术中护理这一环节是极为重要的。 [关键词] 髋关节置换术；老年人；护理；并发症 [中图分类号] R473.5[文献标识码]C [文章编号]1674-4721（2011）07（a）-120-02 The experience of nurse 78 old men who perform replacement of total hip YUAN Dong＇e People′s Hespital in Dongkou Country of Hunan Province, Dongkou 422300, China [Abstract] Objective: To increase total hip replacement impression on elderly total hip replacement, more comprehensive understanding. Methods: In our hospital acceptable to 78 cases nursing of old total hip replacement correlation analysis and summary, for nursing total hip replacement nursing procedures and nursing experience introduced briefly. Results: Through careful preoperative and postoperative treatment and care, no patient died and got serious complications. After six monthsfollow-up observation, patients returned to normal walking ability, 78 patients had varying degrees of pain relief or disappear. According to follow-up feedback statistics show that 63 patients that achieved significant results, only 15 patients that recovery was slow, good hip arthroplasty was 76.7%, surgical results were satisfactory. Total hip arthroplasty in elderly patients to alleviate pain and physical function improvement were received satisfactory results. Conclusion: Care for elderly hip replacement of nursing this link is extremely important. [Key words] Replacement of total hip; Old men; Nursing; Complication 全髋关节置换术属于骨科手术中规模相对较大的一类手术，从医护人员到患者，都会有一定的心理压力，其实，从接受全髋关节置换术的案例来说，成功的案例占有相当大的比例，整个过程中，护理环节也是非常重要，而且是手术成功的关键[1-2]。对于全髋关节置换术，应当增加相应的认知程度，做好心理护理和生活护理，消除不必要的顾虑和恐慌，以正确的积极的心态面对它。全髋关节置换术是治疗各种髋关节疾病经常采用的一种手术疗法，运用手术方法置换由于创伤或者疾病而出现病变的关节面，全髋关节由超高分子聚乙烯制成的髋臼和