氨甲环酸在全髋置换术中的应用及护理配合.docVIP

精品论文 参考文献 氨甲环酸在全髋置换术中的应用及护理配合 四川省简阳市中医医院 四川简阳 641400 【摘 要】目的：观察全髋关节置换术中应用氨甲环酸的有效性，并探讨其围手术期护理对策。方法：抽取2014年5月-2015年3月到我院接受全髋关节置换术的患者62例，分成观察组与对照组，对照组未应用氨甲环酸，观察组采用氨甲环酸注射液并采取针对性的围手术期护理对策进行干预。对比观察组与对照组患者术后血红蛋白、输血人数、输血量、术后可见失血量、术中出血量等相关项目。结果：观察组输血人数、输血量、术后可见出血量与对照组相比，较少；观察组术后血红蛋白值与对照组相比，明显较高，组间数据对比差异明显（P＜0.05）；两组研究对象术中失血量对比无明显差异（P＞0.05）。结论：全髋关节置换术采用氨甲环酸，同时联合术前、术中、术后等围手术期护理措施进行干预，能够促进患者的输血量、失血量得到明显降低，获得的效果较为明显，值得全方位推广应用。 【关键词】氨甲环酸；全髋关节置换术；应用效果 Abstract：Objective：To observe the total hip replacement in the application effectiveness of tranexamic acid，and discuss the perioperative nursing countermeasures.Methods：From May 2014 - March 2015 to our hospital in patients undergoing total hip replacement in 62 cases，divided into observation group and control group，control group without applying tranexamic acid，observation group with tranexamic acid injection and take pertinent intervention perioperative nursing countermeasures.Contrast observation group and control group patients postoperative hemoglobin，the number of blood transfusion，blood transfusion volume，blood loss，intraoperative blood loss，postoperative visible and related projects.Results：The observation group the number of blood transfusion，blood transfusion volume，postoperative blood loss compared with control group，the visible less；Observation group postoperatie hemoglobin value compared with the control group，significantly higher，data contrast differences between group significantly（P lt; 0.05）；Both groups intraoperatie blood loss compared with no obvious difference（P gt; 0.05）.Conclusion：Total hip replacement using tranexamic acid，at the same time combining preoperative???intraoperative and postoperative perioperative nursing intervention，can promote patients significantly lower amount of blood transfusion，blood loss，the effect is more obvious，is worth popularization and application. Key words：Tranexamic acid；Total hip replacement.Application effect 股骨头无菌坏死症状常采用全髋关节置换术进行临床治疗，获得的效果相对有效、可靠[1]。但是因为手术过程中会切