摘要
目的 分析手术室精细化护理应用于髋关节置换手术的实际效果、该护理方式对患者术后恢复产生的影响。方法 本次研究选用的全部样本,均为2024年6月至2026年2月收治的髋关节置换术患者,总数量为40例,研究者为患者做随机分组,最终分出两个小组,20例归入实验组,接受手术室精细化护理干预,剩余20例归入对照组,接受常规护理,研究设置两项比对内容,第一项比对两组患者髋关节功能恢复状态,第二项比对两组患者术后并发症发生概率。结果 术后实验组Harris评分为94.52±3.23分,明显高于对照组的81.45±4.24分(P<0.05)。并发症方面,实验组发生下肢深静脉血栓2例、压疮2例、便秘2例,总发生率30.00%;对照组发生便秘1例,总发生率5.00%,差异有统计学意义(P<0.05)。结论 手术室精细化护理可促进患者髋关节功能恢复,还可降低术后并发症的发生概率,应用于临床可取得稳定的正向效果。
关键词: 手术室精细化护理;髋关节置换术;预后
Abstract
Objective To analyze the actual effect of refined operating room nursing intervention in hip replacement surgery and its impact on postoperative recovery. Methods All samples used in this study were hip replacement surgery patients admitted from June 2024 to February 2026, totaling 40 cases. The patients were randomly divided into two groups: 20 cases were assigned to the experimental group, receiving refined operating room nursing intervention, and the remaining 20 cases were assigned to the control group, receiving routine nursing care. Two comparison items were set up: the first was the recovery status of hip joint function between the two groups, and the second was the probability of postoperative complications between the two groups. Results The postoperative Harris score of the experimental group was 94.52±3.23 points, significantly higher than that of the control group (81.45±4.24 points) (P<0.05). Regarding complications, in the experimental group, 2 cases of deep vein thrombosis of the lower extremities, 2 cases of pressure sores, and 2 cases of constipation occurred, with a total incidence of 30.00%; in the control group, 1 case of constipation occurred, with a total incidence of 5.00%, and the difference was statistically significant (P<0.05). Conclusion Refined nursing care in the operating room can promote the recovery of hip joint function and reduce the probability of postoperative complications, and its application in clinical practice can achieve stable positive results.
Key words: Precision nursing in operating room; Hip replacement surgery; Prognosis
参考文献 References
[1] 沈佳. 基于循证的预见性护理对老年股骨颈骨折行髋关节置换术患者疼痛、髋关节功能及负性情绪的影响[J].临床医学研究与实践,2026,11(04):163-166.
[2] 宗淑君,潘芳,胡燕. 动静互补平衡理论指导的快速康复护理在髋关节置换术患者中的应用[J].齐鲁护理杂志,2026,31(02):129-132.
[3] 尹新梅. 基于根因分析法的手术室护理对髋关节置换术患者的影响[J].当代医药论丛,2025,23(36):190-192.
[4] 饶亚妮. MRI辅助下髋关节置换术中精准护理效果分析[J].CT理论与应用研究(中英文),2025,34(S1):195-198.
[5] 季旖旎,薛明宇,钱玉姝. 门诊主导的延续性康复护理在全髋关节置换术患者中的应用效果[J].中国社区医师,2025,41(34):122-124.
[6] 董萍萍,周素萍. 多模式互动延续护理在髋关节置换术患者术后康复中的应用价值[J].现代中西医结合杂志,2025,34(23):3355-3358.
[7] 郭旭. 针对性护理在全髋关节置换术治疗股骨头坏死中的效果[J].中华养生保健,2025,43(21):129-133.
[8] 包新新,陈玉霞. 快速康复外科护理在髋关节置换术效果的研究[J].继续医学教育,2025,39(10):151-154.
[9] 张亚芳,刘宇泓,杨萍芬,等. 基于失效模式与效应分析的护理风险干预在髋关节置换术患者DVT预防中的应用[J].护理实践与研究,2025,22(10):1495-1501.
[10] 汤文英,李琼,赵木风. ESPCS护理在老年全髋关节置换术患者中的应用[J].医疗装备,2025,38(19):152-154+158.