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find Author "钟尚洁" 4 results
  • 疼痛关爱在膝关节周围骨肉瘤患者术后护理中的应用

    目的 探讨疼痛关爱对膝关节周围骨肉瘤关节置换患者的影响。 方法 将2010年3月-2012年6月收治的30例行膝关节置换术术后患者,随机分成对照组和试验组各15例,对照组采用常规止痛方法,而试验组采用疼痛关爱护理,观察比较两种护理方法的效果。 结果 试验组患者术后疼痛级别下降,住院治疗时间少于对照组,两组各项指标比较差异有统计学意义(P<0.05),疼痛关爱护理效果较好。 结论 实施疼痛关爱护理,可缓解患者疼痛,缩短平均住院日,值得临床推广。

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • 骨科老年患者术后尿潴留护理干预及原因分析

    目的探讨骨科老年患者术后发生尿潴留的护理方法及原因。 方法对2012年3月-8月收治的314例老年患者,在围手术期采用各种针对性的干预措施,积极预防及减少术后尿潴留的发生,对术后发生尿潴留的老年患者,分别采用个体化的心理诱导、音乐诱导、热敷法、灌肠法等手段予以导尿护理。 结果34例患者术后发生尿潴留,发生率为10.83%。经各种护理措施干预,33例患者症状较快缓解,可自行排尿,另1例采用不保留导尿也逐渐恢复排尿功能。 结论对骨科老年患者采取针对性的护理干预措施,能有效降低术后尿潴留的发生。

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  • Postoperative drainage volume and its influencing factors in lumbar posterior surgery

    ObjectiveTo analyze the postoperative drainage volume and its influencing factors in lumbar posterior surgery.MethodsA total of 158 patients undergoing lumbar posterior surgery in West China Hospital, Sichuan University between October 2018 and June 2019 were retrospectively enrolled in this study. The data about general information and perioperative drainage were collected retrospectively according to recording tables and analyzed by SPSS (version 22) software. The drainage volume was presented with median (lower quartile, upper quartile).ResultsThe final average drainage volume was 360 (200, 650) mL, and the length of time for drainage tube placement was from 9 to187 hours with the median (lower quartile, upper quartile) of 61 (40, 86) hours. The result of multiple linear regression showed that immediate drainage volume when returning to the ward [non-standardized partial regression coefficient (b)=0.268, 95% confidence interval (CI) (0.191, 0.345), P<0.001], length of time for drainage tube placement [b=0.554, 95%CI (0.338, 0.769), P<0.001], intra-operative bleeding volume [b=0.161, 95%CI (0.044, 0.277), P=0.007], and surgical methods [Method 3 as the reference, Method 1: b=0.599, 95%CI (0.369, 0.828), P<0.001; Method 2: b=0.574, 95%CI (0.336, 0.812), P<0.001] were the main factors affecting the final drainage volume.ConclusionsThe final drainage volume of lumbar posterior surgery is so large that it should be paid attention to. It is also necessary to take effective interventions according to different surgical methods, intraoperative bleeding, immediate drainage when returning to the ward, length of time for drainage tube placement, and other different circumstances to reduce the drainage to achieve enhanced recovery after surgery.

    Release date:2020-02-24 05:02 Export PDF Favorites Scan
  • Research status of no-urinary catheterization in post-spineoperative patients under the enhanced recovery after surgery mode

    ObjectiveTo investigate the status of urination in post-spineoperative (cervical thoracic and lumber verteb) patients under the enhanced recovery after surgery (ERAS) mode.MethodsPatients who were admitted to the West China Hospital of Sichuan University from October 2018 to February 2019 were enrolled. The urination status of the patients was collected by using questionnaires. All patients were divided into normal urinating group, induced urinating group and catheterization group according to their urination status after returning to the ward.ResultsA total of 106 patients were included, including 78 (73.6%) who urinated smoothly [the first urinating time (72.18±36.33) min], 20 (18.9%) who urinated after induction [the first urinating time (81.50±41.68) min], and 8 (7.5%) who received catheters after induction failure [the first urinating time (162.50±84.52) min]. The different operation, operation time, position of urination, and postoperative pain degree affecting the placement of urethral catheter differed from each other significantly (P<0.05). Among the three groups, the differences were statistically significant in operation time, operation methods, position of urination (except for the induced urination group vs. catheterization group) and postoperative pain degree (except for the induced urination group vs. catheterization group) in pairs (P<0.05). There was no significant difference in other factors among three groups in pairs (P>0.05).ConclusionsMost post-spineoperative patients can autonomously urinate without catheter under the ERAS mode, which bases on operation methods, operation time, and the first urinating posture after the surgery. Early attention should be paid to patients with dysuresia to promote their early rehabilitation.

    Release date:2020-08-25 09:57 Export PDF Favorites Scan
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