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目的探讨膝关节置换手术器械摆放的改进方法和效果。方法某器械厂商合作医院自2016年7月开始在膝关节置换术中改进了器械摆放方法,选择2016年7月至2017年6月期间在合作医院行膝关节置换术的28例患者作为观察组,另选择2015年7月至2016年6月期间在合作医院行膝关节置换术的28例患者作为对照组,对比分析手术器械摆放方法改进前后,手术时间、护理配合效果等情况,并比较两组术后并发症情况。结果观察组手术时间(61.25±12.58min)、术中出血量(41.24±11.03ml)显著低于对照组(75.47±19.37min、52.04±10.37ml),观察组护理配合评分(8.69±1.34分)均显著低于对照组(6.74±1.67分),组间差异均p<0.05。观察组术后并发症发生率(10.71%,3/28)显著低于对照组(21.43%,6/28),组间差异p<0.05。结论改进膝关节置换手术器械摆放方法有助于提高护理配合效果,缩短手术时间,降低术后并发症风险,该改进方法术中应用效果良好,值得推广借鉴。
Objective To explore the improved methods and effects of placing knee replacement instruments. Methods A device manufacturer’s cooperative hospital improved the method of device placement in knee arthroplasty since July 2016. The 28 patients who underwent knee arthroplasty at a partner hospital from July 2016 to June 2017 were selected as observational Group, and another 28 patients who underwent knee arthroplasty in cooperative hospitals from July 2015 to June 2016 were selected as the control group, and the comparison was made between before and after the improvement of operation instruments placement method, operation time and nursing cooperation effect, etc. The complications of the two groups were compared. Results The operation time (61.25 ± 12.58min) and blood loss (41.24 ± 11.03ml) in the observation group were significantly lower than those in the control group (75.47 ± 19.37min, 52.04 ± 10.37ml). The nursing cooperation score (8.69 ± 1.34) Were significantly lower than the control group (6.74 ± 1.67 points), differences between groups were p <0.05. The incidence of postoperative complications in the observation group (10.71%, 3/28) was significantly lower than that in the control group (21.43%, 6/28), with a p <0.05 difference between the two groups. Conclusion The improved method of knee arthroplasty can improve the effect of nursing cooperation, shorten the operation time and reduce the risk of postoperative complications. The improved method is effective in operation and should be widely used for reference.