[1]孙 睿.全踝关节置换术后护理对患者术后并发症及功能康复的影响[J].医学信息,2023,36(03):160-162.[doi:10.3969/j.issn.1006-1959.2023.03.034]
　SUN Rui.Effect of Total Ankle Replacement Postoperative Nursing on Postoperative Complications and Functional Rehabilitation of Patients[J].Journal of Medical Information,2023,36(03):160-162.[doi:10.3969/j.issn.1006-1959.2023.03.034]
点击复制

全踝关节置换术后护理对患者术后并发症及功能康复的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年03期
页码:
160-162
栏目:
护理研究
出版日期:
2023-02-01

文章信息/Info

Title:
Effect of Total Ankle Replacement Postoperative Nursing on Postoperative Complications and Functional Rehabilitation of Patients
文章编号:
1006-1959（2023）03-0160-03
作者:
孙 睿
（大连市第三人民医院关节创伤病房，辽宁 大连 116033）
Author(s):
SUN Rui
(Joint Trauma Ward of Dalian No.3 People’s Hospital,Dalian 116033,Liaoning,China)
关键词:
全踝关节置换术; 术后护理; 踝关节功能; 下肢深静脉血栓
Keywords:
Total ankle replacement; Postoperative nursing; Ankle function; Deep vein thrombosis of the lower extremities
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2023.03.034
文献标志码:
A
摘要:
目的 探究全踝关节置换术（TAR）术后护理对患者并发症及功能康复的影响。方法 选取2019年4月-2020年3月于大连市第三人民医院行TAR治疗的76例患者，依据随机数字表法分为对照组与观察组，各38例。对照组采用通用术后护理模式，观察组采用TAR术后护理模式，比较两组术后疼痛模拟视觉（VAS）评分、住院时间、术后并发症发生情况、踝关节功能[踝关节评分（Kofoed）、美国矫形外科足踝协会（AOFAS）踝-后足功能评分]、踝关节功能恢复效果。结果 观察组术后VAS评分低于对照组，且住院时间短于对照组（P＜0.05）；观察组并发症发生率为5.26%，低于对照组的21.05%（P＜0.05）；两组术后3个月Kofoed、AOFAS评分高于术后3 d，且观察组高于对照组（P＜0.05）；观察组踝关节恢复优良率为76.32%，高于对照组的57.89%（P＜0.05）。结论 TAR术后护理可缓解术后疼痛，缩短住院时间，降低并发症发生风险，促进患者踝关节功能恢复，值得临床应用。
Abstract:
Objective To explore the effect of total ankle replacement (TAR) postoperative nursing on complications and functional rehabilitation of patients.Methods A total of 76 patients who underwent TAR in Dalian No.3 People’s Hospital from April 2019 to March 2020 were selected and divided into control group and observation group according to random number table method, with 38 cases in each group. The control group adopted the general postoperative nursing mode, and the observation group adopted the TAR postoperative nursing mode. The postoperative pain simulation visual (VAS) score, hospitalization time, postoperative complications, ankle joint function [ankle joint score (Kofoed), American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot function score] and ankle joint function recovery effect were compared between the two groups.Results The postoperative VAS score of the observation group was lower than that of the control group, and the hospitalization time was shorter than that of the control group (P<0.05). The incidence of complications in the observation group was 5.26%, which was lower than 21.05% in the control group (P<0.05). The Kofoed and AOFAS scores of the two groups at 3 months after operation were higher than those at 3 days after operation, and those in the observation group were higher than those in the control group (P<0.05). The excellent and good rate of ankle joint recovery in the observation group was 76.32%, which was higher than 57.89% in the control group (P<0.05).Conclusion TAR postoperative nursing can relieve postoperative pain, shorten hospitalization time, reduce the risk of complications, promote the recovery of ankle function, and is worthy of clinical application.

参考文献/References:

[1]王雅婧,张耀文.骨科人工关节置换术患者应用优质护理服务模式的效果分析[J].吉林医学,2019,40(9):2140-2141.[2]李冰冰,覃颖,张艳,等.人工全踝关节置换术后患者早期生活质量及功能恢复的调查分析[J].中华骨与关节外科杂志,2020,13(12):1030-1033.[3]魏玉玺,勾波,曹洪,等.人工全踝关节置换术治疗踝关节损伤性骨关节炎患者多中心临床随机对照研究[J].现代生物医学进展,2017,17(34):6752-6755[4]古海英.早期活动干预预防关节置换术后深静脉血栓的临床效果观察[J].中国临床护理,2017,9(2):125-126.[5]颜玉梅,程亚妹.老年人工全髋关节置换术后早期康复锻炼依从性影响因素调查及其干预对策[J].全科护理,2021,19(31):4440-4444.[6]周根秀,黄远城.应用3D打印技术行踝关节置换围手术期的护理[J].黑龙江中医药,2019,48(3):258-259.[7]韩强强,徐守芳.智能踝关节训练仪在老年患者单侧全膝关节置换术后的应用[J].护士进修杂志,2020,35(22):2101-2104.[8]武勇,王岩,赖良鹏,等.应用人工全踝关节置换术治疗终末期踝关节炎远期效果观察[J].骨科临床与研究杂志,2018,3(6):329-334.[9]朱薇,张林,王玲,等.快速康复理念对踝关节置换术后关节功能及疼痛程度影响的临床观察[J].齐齐哈尔医学院学报,2018,39(23):2843-2845.[10]许骏,谢林.人工全踝关节置换与踝关节融合治疗创伤性踝关节炎:疗效和安全性比较[J].中国组织工程研究,2018,22(3):368-373.[11]马延辉,王磊,张杰,等.不同手术方式治疗创伤性踝关节炎临床疗效对比[J].西部医学,2018,30(3):395-399.[12]李新钢,卢红明,李泽宝,等.全踝关节置换术与踝关节融合术对踝关节炎患者疼痛及关节功能的影响[J].黑龙江医药科学,2019,42(5):98-99.[13]芮炎.52例创伤性踝关节炎病人行全踝关节置换术的护理[J].护理实践与研究,2012,9(17):49-50.[14]许骏,谢林.人工全踝关节置换与踝关节融合治疗创伤性踝关节炎:疗效和安全性比较[J].中国组织工程研究,2018,22(3):368-373.

相似文献/References:

[1]刘汉芬.剖宫产术后护理干预对产妇康复效果的影响分析[J].医学信息,2018,31(01):169.[doi:10.3969/j.issn.1006-1959.2018.01.067]
　LIU Han-fen.Effect of Nursing Intervention on Maternal Rehabilitation after Cesarean Section[J].Journal of Medical Information,2018,31(03):169.[doi:10.3969/j.issn.1006-1959.2018.01.067]
[2]吴兰兰,赵文芳,张唯唯.摇摆操在妇科开腹术后护理中的应用研究[J].医学信息,2018,31(04):176.[doi:10.3969/j.issn.1006-1959.2018.04.067]
　WU Lan-lan,ZHAO Wen-fang,ZHANG Wei-wei.Application of Swing Exercise in Postoperative Nursing Care of Gynecologic Patients Undergoing Laparotomy[J].Journal of Medical Information,2018,31(03):176.[doi:10.3969/j.issn.1006-1959.2018.04.067]
[3]赵长花.宫颈机能不全孕妇宫颈环扎术后的护理对术后并发症的影响[J].医学信息,2023,36(03):163.[doi:10.3969/j.issn.1006-1959.2023.03.035]
　ZHAO Chang-hua.Effect of Nursing After Cervical Cerclage on Postoperative Complications in Pregnant Women with Cervical Insufficiency[J].Journal of Medical Information,2023,36(03):163.[doi:10.3969/j.issn.1006-1959.2023.03.035]

更新日期/Last Update: 1900-01-01