摘要
目的探讨人工全髋关节置换术后感染应用万古霉素骨水泥占位器植入术围手术期护理观察要点。方法对28例人工全髋关节置换术后感染行感染假体取出,病灶清除后万古霉素骨水泥占位器植入术患者术前、术后体温、血沉(ESR)、C反应蛋白(CRP)结果进行比较,观察应用万古霉素药物不良反应。结果应用万古霉素骨水泥占位器植入术后患者ESR、CRP均较术前降低,差异有统计学意义,其中2例在静脉滴注万古霉素过程中出现寒颤、发热,4例出现"红人综合征",经处理后症状均缓解。结论 ESR、CRP、体温的变化趋势是应用万古霉素骨水泥占位器植入术围手术期护理观察重点,实施有针对性的护理措施可有效帮助患者顺利通过治疗阶段。
OBJECTIVE To discuss the key points in the nursing management of infected patients after total hip replacement treated with vancomycin-loaded spacer.METHODS A retrospective study of 28 patients who had an infection following total hip replacement was performed.The treatment protocal included extracting the infected prothesis,thorough debridement and inplanting the vancomycin-loaded spacer.The temperature,erythrocyte sedimentation rate（ESR） and C-reactive protein（CRP） were noted and analyzed preoperatively and postoperatively.RESULTS The postoperative level of ESR and CRP in patients studied was decreased compared with those noted preoperatively with statistic difference of the result.However,the preoperative and postoperative temperature alteration was without statistic difference.Two cases had shiver and fever after use of vancomycin for a long time.The red neck syndrome was seen in 4 cases.CONCLUSIONS The key points of nursing management of infected patients after total hip replacement treated with vancomycin-loaded spacer include the changes in temperature and levels of ESR and CRP.An effective nursing system can help patients live through the treatment period steadily.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第9期1261-1262,共2页
Chinese Journal of Nosocomiology
关键词
髋
关节
全关节置换术
感染
占位器
护理
Hip
Joint
Total joint arthroplasty
Infection
Spacer
Nurse
