Total hip arthroplasty (THA) is the mainstay of treatment for advanced hip arthritis, but a number of postoperative wound complications may occur, such as wound dehiscence, bleeding and infection. Among them, wound infection is one of the serious complications after THA, which may lead to hip dysfunction or even disability, prolong hospital stay, increase readmission rate and significantly increase related medical expenses. Therefore, further understanding and action to change modifiable risk factors associated with wound infection will not only reduce medical expenses, but also improve the prevention, treatment and care. This article reviews the risk factors of surgical wound infection over the past 5 years, including patients factors (serum albumin, serum transferrin, blood transfusion, congestive heart failure, diabetes, overweight or obesity, smoking, and long-term use of hormone) and medical factors (previous surgery, surgical approach, length of surgery, and operating room environment).
Objective To investigate the mental status of medical staffs in the orthopedics department during the earthquake, providing evidence for psychological intervention. Methods Choosing 104 staffs in the orthopedics department as eligible subject with convenient sampling; the research tool was Symptom Checklist-90. The questionnaire was done by the participants with the same instruction from psychological professionals; analyze the results. Results The score in somatization, anxiety and phobic anxiety of staffs in the orthopedics department was significantly higher than the national norm. Conclusion There exists disorder in mental health of medical staffs in orthopedics department, it is necessary to implement mental intervention.
通過分析護理研究生在我院近5年撰寫的科研項目申報書、中標與參與課題研究、在國內外學術期刊論文的發表、協助指導論文和參與國內外學術交流活動的情況,從而探討護理研究生在醫院臨床科研工作中的角色和作用。
摘要:目的: 探討脊髓動靜脈畸形患者科學的圍手術期護理方法。 方法 :對31例脊髓動靜脈畸形圍術期患者進行了科學的護理,即心理,術前、術后以及特殊癥狀護理,并分析護理效果。 結果 :31例患者中治愈27例,好轉4例。 結論 :脊髓動靜脈畸形手術難度大,危險性高,科學的圍手術期護理是促進治療效果的重要保證。Abstract: Objective: To discuss the effectiveness of scientific perioperative nursing for the patients with spinal arteriovenous malformations. Methods : 31 patients with spinal arteriovenous malformations had got nursing, such as psychology nursing and special perioperative symptoms. The nursing effective is analysed. Results : 27 cases are cured and the other 4 cases improved. Conclusion : Spinal arteriovenous malformations is difficult and dangerous for operation.The scientific perioperative nursing is important guarantee for advancing the cure effective.
In recent years, the rapid development of information and communication technology, big data, and artificial intelligence has provided technical support for exploring new medical methods, leading to the emergence of digital therapeutics (DTx). At present, the application of DTx in orthopedics is still in the preliminary exploration stage. Therefore, based on the authors’ experience of applying DTx, this article summarizes the definition and formation process of DTx, as well as the relationship among digital health, digital medicine, and DTx, evaluates the working principles and application effects of existing orthopedic related DTx products, analyzes their shortcomings in the application process, and looks forward to their future development trends, aiming to lay a foundation for the comprehensive development and application of DTx in orthopedics.
Enhanced recovery after surgery (ERAS) has been carried out in many surgical fields such as orthopedics, galactophore, cardiothoracic surgery, gastrointestinal surgery, and obstetrics due to its standardized perioperative management process to reduce surgical stress and reduce surgical complications. After more than a decade of development, ERAS has achieved initial results. However, in China, the development of ERAS in orthopedic is still in its infancy. Most of the researches focus on the multidisciplinary management path of perioperative period. How to break through the existing bottlenecks is the key to accelerate the further development of rehabilitation. Therefore, this paper introduces the origin and development of ERAS, analyzes the challenges and opportunities of orthopedic ERAS in clinical advancement, proposes the important measures to promote the accelerated development of orthopedics, and provides new ideas for promoting the in-depth development of orthopedics accelerated rehabilitation.
目的 探討臨床實施醫護一體化傷口治療模式的效果和前景。 方法 利用調查問卷方式，對2010年12月－2011年12月19個科室臨床實施醫護一體化傷口治療模式的效果進行滿意度調查。 結果 醫生、患者、護士的總體滿意度分別達到94.51%、94.56%、91.43%。 結論 醫護一體化傷口治療模式能夠明顯提高醫護患三方滿意度，值得在臨床推廣。
目的：總結護理干預在預防胰腎聯合移植術后感染中的作用。方法：分析我科2007年3月實施的1例胰腎聯合移植病例圍手術期護理資料。結果：患者術后恢復順利，未發生呼吸道、泌尿道、腹腔、切口、深靜脈插管等處感染。結論:積極、有效的護理干預能預防和降低術后感染的發生。
Objective To summarize the application progress of surface electromyography (sEMG) and surface electromygraphic biofeedback (sEMGBF) in low back pain (LBP). Methods The related literature about the application of sEMG and sEMGBF in diagnosis and therapy of LBP was summarized and analyzed. Results As a auxiliary diagnostic technique, lumbar muscle fatigue, lumbar muscle activity disorder, flexion-relaxation phenomenon, and asymmetry of the paravertebral muscle electromygraphic activity were found in patients with LBP by sEMG. For treatment, sEMG combined with sEMGBF technology to form sEMGBF training. sEMGBF training include sEMGBF training and sEMGBF stretching exercise. sEMGBF training can improve lumbar muscle activity disorder, recover muscle function, and relieve back pain. Conclusion sEMG can monitor the electromyographic signal and sEMGBF biofeedback information can relax or strengthen the muscle. It is very meaningful for diagnosis and therapy of LBP.
目的 探討圍手術期患者靜脈血栓預防的分級護理方法，為靜脈血栓的預防提供實證依據。 方法 2009年5月－2012年1月，以某市級乙等綜合性醫院各科室手術患者為對象，引入量化工具評估患者圍手術期靜脈血栓發生的危險，并根據評估結果采取分級護理方法進行防治，并在患者出院時用彩色多普勒超聲判斷是否存在靜脈血栓，以驗證分級護理防治效果。 結果 納入的318患者經評估均存在發生靜脈血栓的風險，其中低度危險患者65例，中度182例，高度危險71例。經分級護理治療，出院時均未發生靜脈血栓癥狀、肺栓塞。 結論 分級護理方法安全、簡便，可操作性強，便于圍手術期患者靜脈血栓的早期、普遍預防，值得推廣。