肩关节镜下治疗冈上肌钙化性肌腱炎的手术护理效果分析
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- 论文作者：黄荣惠 ; 丁玉辉 ; 朱翠容
- 年：2016
- 作者机构：西南医科大学附属医院手术室;
- 论文关键词：肩关节镜 ; 钙化性肌腱炎 ; 手术护理效果
- 英文论文关键词：shoulder arthroscopy ; calcific tendinitis ; surgical nursing effect
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R473.6
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：1825k
- 原文格式：D
- 会议级别：全国
摘要
目的:探讨肩关节镜治疗冈上肌钙化性肌腱炎的手术护理方法及疗效。方法:对我院2012年2月至2015年2月的18例冈上肌钙化性肌腱炎患者的手术护理方法及疗效进行总结。2例患者行健侧卧位,16例患者行沙滩椅位;全部患者均行关节镜下冈上肌钙化灶清理术,3例行肩峰成形术;术中冲水均采用挂式冲水;术后指导患者进行早期的功能锻炼。在术前访视及术后随访按VAS疼痛评分及Constant-Murley评分标准进行疗效分析。结果:通过术前的充分准备、体位的合理摆放、术中的熟练配合,未发生任何与手术护理配合相关的并发症,16例患者获得随访,术后平均随访12.6个月,肩关节疼痛及活动明显改善,VAS评分由(7.93±1.2)分降至(1.26±0.76)分,Constant-M urley评分由(32.6士4.2)分上升至(84.5士4.8)分,差异均有统计学意义(P<0.01)。结论:娴熟的手术护理配合能使护理质量得到提高,保证护理效果,确保手术顺利进行,是治疗肩关节冈上肌钙化性肌腱炎的重要保障。
Objective: To explore the surgical nursing approach and effect on the treatment of calcific supraspinatus tendinitis under shoulder arthroscopy. Methods: From February 2012 to February 2015, 18 cases of calcific supraspinatus tendinitis patients were treated in our hospital and the surgical nursing approach and effect for them were summarized. During theseoperations, lateral position on healthy side were selected for 2 patients and beach chair position were selected for 16 patients. All the patients were carried out supraspinatus muscle calcificationdebridement under shoulder arthroscopy and 3 patients were carried out acromioplasty. Intraoperative dangling water filling were selected. Postoperative patients with early functional exercise.VAS pain score and Constant-Murley score were carried out for these patients at preoperative and postoperative visits. Results: No complications associated with surgical care were happenedacconding to fully preoperative preparation, reasonably position setting and masterly intraoperative coordination. The average follow-up time was 12.6 months for the 16 patients, and the shoulderpain reduced and activity improved. VAS score descend from the(7.93 ± 1.2) points to(1.26 ± 0.76) points and Constant-Murley score increased from(32.6 ± 4.2) points to(84.5 ± 4.8) points(P <0.01). Conclusions: The nursing quality can be improved by skilled surgical care, which also can ensure the effect of surgical care and the process of oprations. It is an important guarantee forthe treatment of calcific supraspinatus tendinitis.
Objective: To explore the surgical nursing approach and effect on the treatment of calcific supraspinatus tendinitis under shoulder arthroscopy. Methods: From February 2012 to February 2015, 18 cases of calcific supraspinatus tendinitis patients were treated in our hospital and the surgical nursing approach and effect for them were summarized. During theseoperations, lateral position on healthy side were selected for 2 patients and beach chair position were selected for 16 patients. All the patients were carried out supraspinatus muscle calcificationdebridement under shoulder arthroscopy and 3 patients were carried out acromioplasty. Intraoperative dangling water filling were selected. Postoperative patients with early functional exercise.VAS pain score and Constant-Murley score were carried out for these patients at preoperative and postoperative visits. Results: No complications associated with surgical care were happenedacconding to fully preoperative preparation, reasonably position setting and masterly intraoperative coordination. The average follow-up time was 12.6 months for the 16 patients, and the shoulderpain reduced and activity improved. VAS score descend from the(7.93 ± 1.2) points to(1.26 ± 0.76) points and Constant-Murley score increased from(32.6 ± 4.2) points to(84.5 ± 4.8) points(P <0.01). Conclusions: The nursing quality can be improved by skilled surgical care, which also can ensure the effect of surgical care and the process of oprations. It is an important guarantee forthe treatment of calcific supraspinatus tendinitis.
引文
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[2]邓丽,刘春梅,纪慧茹,等.肩关节盂唇损伤经关节镜下锚钉缝合术围手术期护理及康复指导[J].护士进修杂志,2012年27(21):1956-1957.
[3]付佳,高凡,李鸿艳,等.肩关节镜术后患者加压冷疗的效果观察[J].中华护理杂志,2015,50(8):942-945.
[4]周春英,季鑫,鲁楠,等.关节镜下Latarjet手术治疗肩关节前方不稳定的护理体会[J].护士进修杂志,2015,30(14):1320-1322.
[5]王美珍,赖晓萍.肩关节镜术的手术配合[J].实用医学杂志,2007,23(10):1583.
[6]管清丽,董庆华,刘宁,等.军事训练伤致肩关节脱位患者关节镜下行Bankart重建术的护理[J].解放军护理杂志,2013,30(10):41-42.
[7]王妮,任秀.肩关节镜下松解术治疗冻结肩手术的术中护理配合[J].国际护理学杂志,2013,32(08):1751-1752.
[8]许明娴.肩关节镜的手术配合[J].中国实用护理杂志,2007,23(5):26.
[9]李静,廖涛.侧卧牵引位行肩关节镜手术患者的体位护理[J].护士进修杂志,2014,29(23):2190-2191.
[10]秦雯,李昕华,陈东阳.48例肩关节复发性脱位患者行Ban Kart重建术后的康复训练效果观察[J].国际护理学杂志,2015,34(18):2527-2530.
[11]朱爱萍,杨贤云.肩关节镜下治疗肩袖损伤15例护理配合[J].齐鲁护理杂志,2011,17(11):55-56.
[12]易祖玲系统化康复对肩袖修补术后肩关节功能恢复的影响[J].国际护理学杂志,2012,31(05):938-940.
[13]李忠,杨洪彬,叶里子,等.8例肩关节急性疼痛性钙化性肌腱炎的关节镜治疗[J].重庆医学,2009,38(23):2975-2977.
[14]孟秀丽.与麻醉有关的肩关节镜手术的术中并发症以及预防和处理[J].中国微创外科杂志,2013,13(8):755-757.
[15]朱翠容,杨洪彬.肩关节镜术的手术期护理[J].现代预防医学,2012,39(13):3454-3455.
[16]王俊萍,王晓瑛,高敏,等.微创肩关节镜下肩峰成形术的护理配合体会[J].腹腔镜外科杂志,2015,20(3):186.