《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (8): 783-784.

• 论文 • 上一篇    下一篇

高龄患者髋关节置换术后贫血的原因分析及护理策略

赵克聪，魏娜，孙海燕，范静宇   

  1. 中国康复研究中心北京博爱医院骨科，北京市100068
  • 收稿日期:2012-04-26 修回日期:2012-06-12 出版日期:2012-08-25 发布日期:2012-08-25

Cause of Anemia and Correlative Nursing Care in Senility Patients after Hip Arthroplasty

ZHAO Ke-cong, WEI Na, SUN Hai-yan, et al   

  1. Department of Orthopedics, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2012-04-26 Revised:2012-06-12 Published:2012-08-25 Online:2012-08-25

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摘要： 目的分析高龄患者髋关节置换术后贫血的原因，探讨相应的护理措施。方法回顾性分析2007 年~2010 年在本院骨外科接受髋关节置换术的47 例老年患者的临床资料，分为高龄组(≥70 岁)和非高龄组(<70 岁)，比较两组患者术中失血量、术后可见失血量、隐性失血量、总失血量及手术前后(Hb)、贫血例数等指标。结果高龄组术中失血量、术后可见失血量显著低于非高龄组(P<0.001)，隐性失血量显著高于非高龄组(P<0.001)，术后贫血例数高于非高龄组(P<0.05)。结论高龄患者髋关节置换术后隐性失血量较多，更易发生贫血，护理人员应加强围手术期的观察和护理，降低贫血发生率。

关键词: 高龄, 人工髋关节置换, 隐性失血, 贫血

Abstract: Objective To analyze the cause of anemia in patients after hip arthroplasty and to explore correlative nursing intervention. Methods 47 patients undergoing hip arthroplasty in our hospital from 2007 to 2010 were reviewed, they were divided into elderly group (≥70 years old) and non-elderly group (<70 years old). Intra-operative blood loss, post-operative visible blood loss, hidden blood loss, total blood loss, perioperative hemoglobin and number of anemia were compared. Results The average volume of intra-operative blood loss and extra- operative blood loss were significantly lower in elderly group than in non-elderly group (P<0.001); the hidden blood loss was significantly higher in elderly group and in non-elderly group (P<0.001); the incidence of anemia in elderly group was higher than in non-elderly group (P<0.05). Conclusion More post-operative hidden blood loss can be found in patients over 70 years old after hip arthroplasty, so as to the incidence of anemia. The perioperative nursing care and observation should be strengthened to reduce the incidence of anemia.

Key words: senility, artificial hip arthroplasty, hidden blood loss, anemia