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临床输血与检验

临床输血与检验 ›› 2020, Vol. 22 ›› Issue (6): 617-620.DOI: 10.3969/j.issn.1671-2587.2020.06.014

• 临床输血 • 上一篇    下一篇

围手术期血液保护措施对老年全髋关节置换术患者快速康复的影响

周瑶, 罗海燕, 宋慧敏, 文琴   

  1. 637000 川北医学院第二临床医学院南充市中心医院手术室
  • 收稿日期:2020-01-02 出版日期:2020-12-20 发布日期:2021-01-18
  • 通讯作者: 罗海燕,女,副主任护师,本科,主要从事手术室骨科专科护理工作,(E-mail)307332735@qq.com。
  • 作者简介:周瑶(1978-),女,四川省南部县人,主管护师,本科,主要从事手术室骨科手术快速康复护理工作,(Tel)15328426995。

Effect of Perioperative Blood Protection Measures on Rapid Rehabilitation of Elderly Patients with Total Hip Arthroplasty

ZHOU Yao, LUO Hai-yan, SONG Hui-min, et al   

  1. Department of Operating Room,Nanchong Central Hospital,Second Clinical Medical College of North Sichuan Medical College,Sichuan 637000
  • Received:2020-01-02 Online:2020-12-20 Published:2021-01-18

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摘要： 目的 探讨围手术期血液保护措施对老年全髋关节置换术患者快速康复的影响。方法 纳入从2016年5月~2019年6月在本院行全髋关节置换术的老年患者98例进行研究,采用随机数字表法将患者分为2组,对照组和观察组各49例。两组均由同一组医护人员行全髋关节置换术,对照组行常规快速康复围手术期管理,观察组在此基础上加以围手术期血液保护措施。对比两组患者急性失血量、输血率、血红蛋白、红细胞压积、红细胞计数、护理满意度及并发症发生情况。结果 对照组患者急性失血量高于观察组,对照组总输血率为16.33%,显著高于观察组的4.08%(P<0.05)。术前两组患者血红蛋白、红细胞压积、红细胞计数差异无统计学意义(P>0.05),术后对照组血红蛋白、红细胞压积、红细胞计数均显著低于观察组(P<0.05)。观察组患者护理满意度得分高于对照组,住院时间较对照组更短,差异有统计学意义(P<0.05)。对照组总并发症发生率为24.49%,显著高于观察组的8.16%(P<0.05)。结论 与单独使用常规快速康复护理相比较,围手术期血液保护措施联合快速康复护理可有效降低急性失血量及输血率,维持血红蛋白水平,提高患者护理满意度,缩短住院时间,同时还可降低并发症发生率。

关键词: 血液保护, 输血率, 老年患者, 全髋关节置换术

Abstract: Objective To explore the effect of perioperative blood protection measures on the rapid rehabilitation of elderly patients undergoing total hip arthroplasty.Methods A total of 98 elderly patients undergoing total hip arthroplasty who were treated in our hospital from May 2016 to June 2019 were selected for study.Patients were divided into 2 groups by random number table method,with 49 patients in each group.In two groups,total hip arthroplasty was performed by the same group of medical staff,and the control group was administered perioperative management of routine rapid rehabilitation.The observation group was given perioperative blood protection measures based on this.Acute blood loss,transfusion rate,hemoglobin,hematocrit,red blood cell count,nursing satisfaction and complications were compared between two groups of patients.Results The amount of acute blood loss in the control group was higher than that in the observation group.The total blood transfusion rate in the control group was 16.33%,which was significantly higher than the observation group's 4.08% (P<0.05).There were no significant differences in hemoglobin,hematocrit,and red blood cell count between the two groups of patients before surgery(P>0.05).The hemoglobin,hematocrit,and red blood cell count in patients of the control group were significantly lower than those in the observation group(P<0.05).Patients in the observation group had higher nursing satisfaction scores than those in the control group,and the hospital stay was shorter than that in the control group,and the difference was statistically significant(P<0.05).The total observed incidence of complications in the control group was 24.49%,which was significantly higher than that of the observation group (8.16%) (P<0.05).Conclusion Compared with conventional rapid rehabilitation nursing,perioperative blood protection measures combined with rapid rehabilitation nursing can effectively reduce acute blood loss and blood transfusion rate,stabilize hemoglobin and hematocrit and other hematological indicators,improve patient satisfaction and shorten hospital stay.At the same time,it can also reduce the incidence of complications.

Key words: Blood preservation, Blood transfusion rate, Elderly patients, Total hip arthroplasty

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