| 季鑫,周春英,张爽,等.会阴保护方法在预防髋关节镜术中压力性损伤的应用效果.骨科,2019,10(6): 555-558. |
| 会阴保护方法在预防髋关节镜术中压力性损伤的应用效果 |
| Effect of perineum protection on prevention of pressure injury in hip arthroscopy |
| 投稿时间：2018-11-17 |
| DOI：10.3969/j.issn.1674-8573.2019.06.014 |
| 中文关键词: 髋关节镜手术 压力性损伤 泡沫敷料 |
| 英文关键词: Hip arthroscopy Pressure injury Foam dressing |
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| 中文摘要: |
| 目的 对比新型泡沫敷料联合常规棉垫和单纯采用常规棉垫两种会阴保护方法预防髋关节镜术中压力性损伤的应用效果。方法 选取2017年7月至2018年7月在我科行髋关节镜手术的80例股骨髋臼撞击综合征病人，采用随机数字表法分为观察组和对照组，每组40例。观察组病人会阴部在使用手术室常规棉垫的基础上加用新型泡沫敷料预防压力性损伤，对照组病人会阴部位仅采用手术室常规棉垫预防压力性损伤。观察两组病人术后即刻、24 h和72 h的压力性损伤发生情况。结果 观察组仅术后即刻发生压力性损伤1例（2.5%）；对照组术后即刻和术后24 h共发生压力性损伤9例（22.5%）；两组压力性损伤发生情况比较，差异具有统计学意义（χ2=12.489，P=0.015）。结论 对仰卧牵引位行髋关节镜手术的病人，会阴部加用新型泡沫敷料与仅采用手术室常规棉垫相比，可有效减少术后压力性损伤的发生，对临床护理工作有一定的指导意义。 |
| 英文摘要: |
| Objective To prospectively compare the influence of new-type foam dressing combined conventional cotton pads and conventional cotton pads of perineum protection during hip arthroscopy on the incidence of post-operative pressure injury. Methods From July 2017 to July 2018, 80 patients were diagnosed with femoral-acetabular impingement (FAI) treated in our department. The patients were divided into the study group (40 cases) and the control group (40 cases) by the random number table. Patients in the study group were protected with conventional cotton pads combined with the new-type foam dressings for the prevention of post-operative pressure injury, and those in the control group were protected only with the conventional cotton pads. The incidence of post-operative pressure injury was investigated and recorded at time-zero, 24 h, and 72 h after the surgeries and compared between the two groups. Results In the observation group, only 1 case (2.5%) suffered from pressure injury immediately after operation; in the control group, 8 cases and 1 case (22.5%) suffered from pressure injury immediately after operation and 24 h after operation, respectively. There was significant difference between the two groups (χ2=12.489, P=0.015). Conclusion The use of conventional cotton pad and new foam dressing for prevention of stress injury in the perineum of patients undergoing hip arthroscopic surgery at the supine traction level can effectively reduce the incidence of postoperative stress injury compared with the conventional method of using cotton pad to prevent pressure injury. |
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