膝关节单髁置换术后精细化护理的临床价值研究
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王欢
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北京市顺义区医院，北京，101300
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摘要：目的 探讨全流程精细化护理在膝关节单髁置换术（UKA）患者中的应用效果。方法 选取2024 年1 月至2025 年1 月间，北京市顺义区医院80 例UKA 患者，采用随机数表法分为两组：A 组（40 例， 接受常规护理，包括术前准备与评估、术后早期康复护理计划制定、并发症观察与处理措施落实）和B 组（40 例，接受全流程精细化护理，涵盖术后体位调整、伤口护理、功能锻炼等）。对两组的恢复时间、疼痛评分等指标进行统计分析。结果 根据术后护理措施，B组患者在恢复时间、疼痛评分、膝功能和自理能力方面均优于A 组，且并发症发生率较低，生活质量和病历满意度更高，这些差异均具有统计学意义（P<0.05）。结论 根据研究，精细化护理在单髁置换术（UKA）后的应用显著提升了患者的康复效果，有效减轻了术后疼痛，减少了并发症，并改善了膝关节功能，从而提高了患者的生活质量。
关健词：全流程精细化护理；膝关节；单髁置换术
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Clinical Value of Refined Nursing After Unicompartmental Knee Arthroplasty
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Huan Wang
Beijing Shunyi District Hospital, Beijing 101300，China
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Abstract：Objective To explore the application effect of whole-process refined nursing in patients undergoing unicompart-mental knee arthroplasty (UKA).Methods A total of 80 UKA patients admitted to Beijing Shunyi District Hospital from January 2024 to January 2025 were selected and randomly divided into two groups using a random number table: Group A (40 cases, receiving conventional nursing, including preoperative preparation and assessment, formulation of early postoperative reha-bilitation nursing plans, and implementation of complication observation and management measures) and Group B (40 cases, receiving whole-process refined nursing, covering postoperative posture adjustment, wound care, functional exercise, etc.). Sta-tistical analysis was conducted on indicators such as recovery time and pain scores between the two groups.Results Based on postoperative nursing measures, patients in Group B demonstrated better recovery time, pain scores, knee function, and self-care ability compared to Group A, with lower complication rates, higher quality of life, and greater satisfaction with medical records. These differences were statistically significant (P<0.05).Conclusion According to the study, the application of refined nursing after unicompartmental knee arthroplasty (UKA) significantly improved patients’ rehabilitation outcomes, effectively alleviated postoperative pain, reduced complications, and enhanced knee joint function, thereby improving patients’ quality of life.
Keywords : Whole-process refined nursing; Knee joint; Unicompartmental knee arthroplasty
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