全髋关节置换术的护理及康复指导

目的探讨全髋关节置换术后的护理方法。方法对12例全髋节置换术患者作好术前、术后护理及康复指导。结果12例患者均健康出院，无并发症发生。结论术前给予积极有效的护理指导，术后密切观察病情变化，给予功能锻炼及出院健康指导是预防并发症、提高手术成功率的重要护理措施。     

人工髋关节置换术的护理

目的：探讨人工髋关节置换术护理的临床效果。方法：将60例行人工髋关节置换术患者,术前进行心理护理,训练床上排便;术后病情观察,体位护理及预防并发症,指导功能锻炼。结果：护理60例患者,优良52例,占93.3%。结论：做好术前、术后的护理及出院指导,可减少术后并发症,使患者肢体功能得到改善,生活自理。     

人工髋关节置换术后的护理及康复指导

目的:探讨人工髋关节置换术后的护理及康复指导.方法:对60例人工髋关节置换术患者,从心理护理,术前准备到术后病情观察,术后并发症的预防,术后康复指导,给予全程护理干预.结果:60例患者均无严重护理并发症发生.结论:围手术期精心护理及康复指导能有效预防人工髋关节置换术后早期并发症发生.     

人工全髋关节置换术102例围手术期护理

目的探讨人工全髋关节置换围手术期的护理经验,提高手术成功率。方法对102例进行人工全髋关节置换术患者围手术期的心理护理、术前护理、术后护理和适应性训练,预防并发症,指导患者正确使用助行器,并早期进行渐进式的康复功能锻炼。结果无1例患者发生感染和下肢静脉血栓并发症,均在术后12～15d出院。随防6个月至3年,所有病人术后髋关节疼痛症状明显缓解,对手术效果满意。结论术前积极治疗原发病,控制感染,给予良好的心理护理,术后密切观察病情变化,并积极预防并发症,提高病人生活质量,讲解功能锻炼的重要性是手术取得成功的重要因素,可使人工全髋关节置换术患者得到满意的康复效果。     

人工全髋关节置换术102例围手术期护理

目的探讨人工全髋关节置换围手术期的护理经验,提高手术成功率。方法对102例进行人工全髋关节置换术患者围手术期的心理护理、术前护理、术后护理和适应性训练,预防并发症,指导患者正确使用助行器,并早期进行渐进式的康复功能锻炼。结果无1例患者发生感染和下肢静脉血栓并发症,均在术后12～15d出院。随防6个月至3年,所有病人术后髋关节疼痛症状明显缓解,对手术效果满意。结论术前积极治疗原发病,控制感染,给予良好的心理护理,术后密切观察病情变化,并积极预防并发症．提高病人生活质量,讲解功能锻炼的重要性是手术取得成功的重要因素．可使人工全髋关节置换术患者得到满意的康复效果。     

全髋关节置换术后预防假体脱位的护理

目的探讨预防全髋关节置换术后假体脱位的护理方法。方法对82例全髋关节置换术患者做好围术期护理及功能锻炼指导：结果82例患者无1例发生假体脱位。结论术前有效的护理指导、术后正确搬动患者、保持髋关节正确位置、加强功能锻炼及出院指导,是预防术后假体脱位、提高手术成功率的重要措施。     

43例人工全髋关节置换围术期的护理体会

目的 探讨人工全髋关节置换的围手术期的临床护理体会.方法 针对我科收治的人工全髋关节患者43例进行分析讨论,给予髋关节置换术的围手术期有效的护理方法,包括术前护理、术前准备、术后一般护理、生活护理、康复锻炼等.结果 此组患者进行髋关节置换治疗后无一例并发症发生,其中38例患者术后第4天可下地活动,43例患者均治愈出院.结论 对于人工全髋关节置换的手术,为患者在围手术期进行有效护理措施,不仅防止并发症的发生,而且提高手术成功率和治疗效果.     

全髋关节置换术围手术期护理

目的 探讨髋关节置换术围手术期的护理方法。方法 对27例实施人工全髋关节置换术的患者做好围手术期的护理,包括术前充分准备全面评估患者情况,术后积极观察护理,预防术后并发症。结果 27例患者均取得了良好的疗效,无并发症发生。结论 加强全髋关节置换术围手术期的护理能有效减少并发症的发生,有利于术后康复。     

35例人工全髋关节置换围手术期护理体会

目的探讨人工全髋关节置换术围手术期护理配合。积极预防人工全髋关节置换术后并发症,帮助病人床上及床下功能锻炼方法。方法对35例人工全髋关节置换术患者的护理做回顾性总结。结论系统有效的人工全髋关节置换术围手术期护理积极地预防术后关节脱位、卧床并发症等,对提高手术效果、促进患者机体更好的恢复至关重要。     

人工髋关节置换术治疗老年股骨颈骨折的护理体会

目的 总结人工髋关节置换术治疗老年股骨颈骨折患者的护理体会.方法 对32例老年股骨颈骨折患者行人工髋关节置换术,术前密切观察患者情况,加强营养,配合医生作好术前准备,术后针对人工关节置换术后主要并发症进行预见性护理.结果 32例患者均治愈出院.结论 人工髋关节置换术治疗老年股骨颈骨折后,进行综合性治疗护理,收到了良好的效果.     

手术标本的规范化管理

目的探讨手术标本的规范化管理,防止手术标本管理失误。方法通过分析存在的问题提出相应的规范化管理。结果能有效地防止标本管理失误。结论规范化的手术标本管理十分必要。     

人工髋关节置换术后护理及功能康复指导

目的：探讨人工髋关节置换术后护理要点及康复指导效果。方法：对18例人工髋关节置换术后的患者进行了早期观察以及早期功能锻炼指导。结果：18例人工髋关节置换术后患者均不同程度地恢复了髋关节功能。结论：人工髋关节置换术后早期综合性护理措施行之有效。     

老年病人全髋关节置换术围手术期并发症的预防

目的总结探讨老年病人预防全髋关节置换术围手术期并发症的护理经验,提高护理水平。方法回顾分析2005年7月至2006年9月38例行全髋关节置换术的老年病人,总结围手术期预防并发症的护理措施。结果本组病例发生肺部感染l例：无手术失败的病例;无死亡;无因护理不当造成其它并发症。结论围手术期针对性预防护理措施对老年病人顺利度过全髋关节置换手术难关有重要作用。     

老年病人全髋关节置换术围手术期并发症的预防

目的总结探讨老年病人预防全髋关节置换术围手术期并发症的护理经验,提高护理水平。方法回顾分析2005年7月至2006年9月38例行全髋关节置换术的老年病人,总结围手术期预防并发症的护理措施。结果本组病例发生肺部感染l例;无手术失败的病例;无死亡;无因护理不当造成其它并发症。结论围手术期针对性预防护理措施对老年病人顺利度过全髋关节置换手术难关有重要作用。     

人工关节置换术隐性失血量及其相关因素分析

目的 通过计算人工髋关节置换术和人工膝关节置换术隐性失血量,分析其相关的危险因素,并探讨其发生机制.方法 2008年7-11月行人工关节置换术38例,年龄(65.11±13.51)岁,其中人工髋关节置换术25例,人工膝关节置换术13例.根据身高、体质指数和手术前后的红细胞压积计算总失血量、显性失血量及隐性失血量及隐性失血率,并分析患者的年龄、体质指数、不同性别以及不同手术部位对隐性失血的影响.结果 人工关节置换术实际总失血量为(1563.52±693.10)ml,隐性失血量为(538.70±529.77)ml,隐性失血率均值为33%.年龄与隐性失血量有明显相关性(P＜0.05).体质指数与隐性失血量以及隐性失血率无明显相关性(P＞0.05).男性和女性患者隐性失血量虽差异无统计学意义(P＞0.05),但女性患者隐性失血率要明显高于男性患者(P＜0.05).考虑到年龄和性别的影响,对人工髋关节置换术和人工膝关节置换术患者的年龄和性别配对后比较,其隐性失血率比较差异有统计学意义(P＜0.05).结论 高龄、女性都是人工关节置换术隐性失血的危险因素;人工髋关节置换术的隐性失血率高于人工膝关节置换术.

Abstract：

Objective To calculate the volume and to study the correlated risk factors of hidden blood loss after artificial hip or knee joint replacement. Methods From July to November in 2008, 38patients with age of (65.11±13.51) years old were treated with artificial hip or knee joint replacement, and were divided by age into four groups. Using Gross formula, total blood loss was calculated depending on height, weight and pre- and post-operation hematocrit, and the hidden blood loss was acquired by subtracting the visible blood loss from the total blood loss. The correlation between age,body mass index( BMI),gender and hidden blood blood loss was observed. Differences of hidden blood loss of artificial hip or knee joint replacement were compared. Results The total blood loss of all arthroplasties was ( 1563.52 ± 693.10) ml,and the hidden blood loss was (538.70 ± 529.77) ml,the percentage of hidden blood loss was 33%. The hidden blood loss was inversely related to age (P＜ 0.05 ). There was no correlation between BMI and hidden blood loss (P＞0.05). The percentage of hidden blood loss in total blood loss in woman was significantly higher than that in man. With age and gender paired, the percentage of hidden blood loss in total blood loss in artificial hip joint replacement was significantly higher than that in artificial knee joint replacement (P＜0.05 ). Conclusions Both of age and gender are risk factors influencing hidden blood loss after artificial hip or knee joint replacement. And compared with artificial knee joint replacement, the percentage of hidden blood loss in artificial hip joint replacement is higher.     

Relationships between body mass indices and surgical replacements of knee and hip joints

BACKGROUND: Osteoarthritis is both the most common form of arthritis and the most common reason for joint replacement surgery. Obese persons are believed to be more likely to develop generalized osteoarthritis that leads not only to knee but also to hip joint replacement surgeries. We hypothesized that obesity is also a risk for partial joint replacements and surgical revisions. METHODS: A frequency-matched case-control study was conducted in Utah. Between 1992 and 2000, 840 hip and 911 knee joint replacement surgery patients, aged 55 to 74 years, were included in this study. Cases were randomly matched to 5578 controls, defined as Utah residents enrolled in a cancer screening trial. Odds ratios (ORs) were calculated using ICD-9 (International Classification of Diseases, 9th revision) procedural codes and body mass index (BMI) groups. RESULTS: There was a strong association between increasing BMI and both total hip and knee replacement procedures. In males, the highest OR was for those weighing 37.50 to 39.99 kg/m(2) (total hip: OR=9.37, 95% confidence interval [CI] 2.64-33.31; total knee: OR=16.40; 95% CI 5, 19-51.86). In females, the highest OR was for those weighing > or =40 kg/m(2) (total hip: OR=4.47; 95% CI, 2.13-9.37; total knee: OR=19.05; 95% CI, 9.79-37.08). There were slight gender-specific differences in risk found for partial hip replacement procedures. Unexpectedly, no statistically significant association was found between obesity and the risk for hip or knee revision procedures. CONCLUSIONS: While there is an association between obesity and hip and knee joint replacement surgeries, obesity does not appear to confer an independent risk for hip or knee revision procedures.     

人工全髋置换术治疗髋关节疾病69例体会

目的：探讨人工全髋关节置换术治疗髋部疾病的手术方法及疗效。方法：回顾分析69例行人工全髋关节置换术的髋部疾病患者的临床资料。结果：术后5年随访69例,关节功能评分90～100分43例,80～89分23例,70—79分3例,随访表明髋关节置换术的优良率达94％,效果满意。结论：人工全髋关节置换术治疗髋部疾病疗效显著,只要选择好适应证、做好术前准备、选择好适合的假体,则手术是安全的,手术的效果良好,并发症少。     

人工髋关节置换术后下肢深静脉血栓的预防及干预措施

目的探讨人工髋关节置换术后下肢深静脉血栓形成的预防及护理方法。方法对38例实施人工髋关节置换术的患者,从一般护理,到给予预防性早期功能锻炼、间歇性压力治疗等综合性护理措施,同时配合低分子肝素等抗凝药物治疗。结果38例患者经有效预防及护理措施,均未发生下肢深静脉血栓。结论对人工髋关节置换术后患者采取有效的预防及护理措施,可以避免下肢深静脉血栓的形成。     

Readmission Patterns Over 90-Day Episodes of Care Among Medicare Fee-for-Service Beneficiaries Discharged to Post-acute Care

Objective

Examine readmission patterns over 90-day episodes of care in persons discharged from hospitals to post-acute settings.