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find Author "彭琪" 2 results
  • Comparison Study of Catheter Extubation Time in Elderly Patients Undergoing Total Hip Arthroplasty

    ObjectiveTo investigate the optimal catheter extubation time by comparing the postoperative complications in elderly patients undergoing total hip arthroplasty with catheter extubation at different times. MethodsBetween May and August 2013, 60 patients needing total hip replacement were randomly divided into experimental group and control group with 30 in each. The patients' average age of the experimental group was 75.6 years (65-87 years) and of the control group was 76.9 years (66-85 years). Extubation was performed within 24 hours after surgery in the experimental group, while it was performed after 24 hours after surgery in the control group. All the patients underwent clean catheterization with a Foley catheter two hours before surgery. The catheter indwelling time, first time of self-urination, urination after extubation, and complications were recorded and compared between the two groups carefully. ResultsThe incidence of complications (urinary retention, urethral pain, cystospasm and urinary irritant symptoms) in the experimental group was significantly less than the control group (P<0.05). The first urination time had no significant difference (P>0.05) between the two groups. ConclusionThe extraction of indwelling catheter in the early postoperative period (within 24 hours) can reduce the incidence of complications and is better for the early postoperative rehabilitation.

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  • 骨科医护一体化伤口管理成效

    目的 探索骨科伤口管理新模式。 方法 将2011年6月-8月入住的60例胫腓骨骨折患者按照住院号尾数奇偶分为观察组和对照组,每组30例。观察组实施医护一体化伤口管理,对照组采用传统伤口管理模式,并对两种伤口管理模式的换药费用漏记情况、换药等待时间、非计价材料占换药总材料比例、医护人员对伤口管理方式的认可度等进行对比。 结果 观察组无换药费用漏记情况,其患者等待换药时间明显缩短,非计价材料占换药总材料比得到有效控制,两组相比差异有统计学意义(P<0.05)。 结论 医护一体化伤口管理模式在骨科运用效果显著,得到了医生护士的充分认可,值得在临床推广。

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
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