论文部分内容阅读
目的:探讨局麻关节镜下治疗踝关节距骨骨软骨损伤的手术护理。方法:回顾性分析2010年7月至2014年8月我科54例踝关节距骨骨软骨损伤病例,均在局麻下行关节镜探查、关节软骨成形手术,总结手术护理的方法与重点注意事项。结果:本组54例患者均在局麻下成功完成关节镜手术,术后患者AOFAS评分包括疼痛、自主活动、最大步行距离、地面步行、反常步态等都有明显改善,差异具有统计学意义(P<0.05)。患者对护士满意度评分为98.5±7.6,术中均能积极配合手术,手术顺利,安返病房。结论:手术室护士术前认真评估患者情况、精心的心理护理以及术中认真配合是确保手术成功的关键。
Objective: To investigate the surgical treatment of the osteochondral injury of ankle and talus under arthroscope. Methods: A retrospective analysis of 54 patients with ankle and talus osteochondral injury in our department from July 2010 to August 2014 was performed. Arthroscopy, articular cartilage forming surgery and surgical nursing were summarized under local anesthesia. Results: All the 54 patients underwent successful arthroscopic surgery under local anesthesia. The AOFAS scores of postoperative patients including pain, voluntary activity, maximum walking distance, ground walking, abnormal gait and so on were significantly improved with statistically significant differences (P <0.05). The patient satisfaction score of nurses was 98.5 ± 7.6. All patients were able to cooperate actively during the operation, and the operation was smooth and returned to the ward. CONCLUSIONS: Careful assessment of the patient’s condition before operation nurses’ preoperative care, meticulous psychological care and careful cooperation during operation are the keys to successful operation.