Experience of perioperative nursing care of patients undergoing hip arthroplasty with targeted penetration therapy of traditional Chinese medicine combined with accelerated rehabilitation surgery
摘要: 目的 探讨中医定向透药治疗联合加速康复外科理念在髋关节置换术患者围手术期的护理体会。方法 选取2022年10月-2023年10月收治于我院行人工髋关节置换术的90例患者，随机分为观察组和对照组各45例。对照组予以骨科围手术期常规护理，观察组在常规护理的基础上实施中医定向透药治疗联合加速康复外科理念干预下优化的人工髋关节置换术围手术期护理。对比两组患者术后疼痛、并发症、康复时间、髋关节功能及满意度。结果 观察组术后1天、3天、7天疼痛评分低于对照组，并发症发生率低于对照组，术后首次下床时间早于对照组，住院时间短于对照组，术后3月髋关节功能评分高于对照组，出院时患者满意度大于对照组，均有统计学差异（P<0.05）。结论 中医定向透药治疗联合加速康复外科理念在人工髋关节置换术围手术期的应用护理效果显著，可有效缓解髋关节置换术患者术后疼痛，减少术后并发症，缩短康复时间，促进髋关节功能恢复，提高患者满意度，值得临床推广应用。
Abstract: objective to explore the perioperative nursing experience of targeted permeation therapy of traditional Chinese medicine combined with accelerated rehabilitation surgery in patients undergoing hip arthroplasty.Methods 90 patients who underwent artificial hip arthroplasty in our hospital from October 2022 to October 2023 were randomly divided into observation group (n = 45) and control group (n = 45). The control group was given orthopedic perioperative routine nursing, and the observation group was given perioperative nursing of artificial hip arthroplasty under the intervention of traditional Chinese medicine combined with accelerated rehabilitation surgery. Postoperative pain, complications, recovery time, hip joint function and satisfaction were compared between the two groups.Results the pain score at 1 day, 3 days and 7 days after operation in the observation group was lower than that in the control group, the incidence of complications was lower, the time of getting out of bed for the first time after operation was earlier than that in the control group, the time of hospitalization was shorter than that in the control group, and the score of hip joint function in the observation group was higher than that in the control group 3 months after operation. the satisfaction of patients at discharge was higher than that in the control group, and the difference was statistically significant (P < 0.05).Conclusion TCM targeted drug penetration therapy combined with accelerated rehabilitation surgery has a significant nursing effect in perioperative period of artificial hip arthroplasty, which can effectively relieve postoperative pain, reduce postoperative complications and shorten rehabilitation time. It is worthy of clinical application to promote the recovery of hip joint function and improve patient satisfaction.