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人工髋关节置换术后并发精神障碍的原因分析及护理对策
引用本文:丁敏,唐先业,沈琴.人工髋关节置换术后并发精神障碍的原因分析及护理对策[J].徐州医学院学报,2010,30(2):136-138.
作者姓名:丁敏  唐先业  沈琴
作者单位:1. 淮安市第二人民医院骨科七病区,江苏,淮安,223002
2. 淮安市第三人民医院医学心理科,江苏,淮安,223001
摘    要:目的总结老年患者人工髋关节置换术后并发精神障碍的原因及护理对策。方法回顾性分析145例老年患者行人工髋关节置换术后部分并发精神障碍病例的病历资料。结果19例并发精神障碍,发病率为13.1%。经及时治疗与护理,所有病例症状消失。结论老年患者人工髋关节置换术后并发精神障碍的比例较高,年龄与精神障碍的发生密切相关,手术创伤、麻醉、骨水泥反应、低血压、感染、术后水电解质紊乱等均与精神障碍的发生有一定关系在。临床应早期发现并采取积极的应对措施,以保障患者的安全。

关 键 词:人工髋关节置换术  精神障碍  老年  护理

Analysis of the causes of postoperative psychonosema in elderly patients following artificial hip replacement and the nursing strategies
DING Min,TANG Xianye,SHEN Qin.Analysis of the causes of postoperative psychonosema in elderly patients following artificial hip replacement and the nursing strategies[J].Acta Academiae Medicinae Xuzhou,2010,30(2):136-138.
Authors:DING Min  TANG Xianye  SHEN Qin
Institution:1.Department of Orthopedics,Huai′an No.2 People′s Hospital,Huai′an,Jiangsu 223002,China;2.Department of Medical Psychology,Huai′an No.3 People′s Hospital,Huai′an,Jiangsu 223001)
Abstract:Objective To summarize the causes of postoperative psychonosema(POP) in elderly patients following hip replacement and the nursing strategies.Methods A retrospective analysis was conducted on the nursing data of 145 elderly patients who underwent artificial hip replacement and some of whom had POP.Results 19 had POP,with an incidence of 13.1%,and the symptoms disappeared in all cases with timely treatment and nursing intervention.Conclusion There is a large percentage of POP as an complication of artificial...
Keywords:hip replacement  psychonosema  elderly patients  nursing strategies  
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