| 摘要: |
| [摘要] 目的 探讨灌注液温度管理联合模块化手术配合对肩关节镜手术患者的护理应用价值。 方法 回顾性分析2023年7月至2025年6月本院行肩关节镜手术患者106例。根据围术期实施的不同护理模式进行分组：2023年7月至2024年6月实施常规护理模式者纳入对照组（n=53），2024年7月至2025年6月实施灌注液温度管理联合模块化手术配合者纳入观察组（n=53）。比较两组患者肩周径差值、视觉模拟评分法（VAS）评分、美国肩肘外科协会（ASES）评分、不良反应及术中低温发生率。结果 与术前相比，两组肩周径差值在术后即刻、术后24h均有下降（P<0.05）；在术后即刻、术后24h，观察组肩周径差值均低于对照组（P<0.05）。与术前、术后麻醉苏醒即刻相比，两组VAS评分在术后24、48h均有下降（P<0.05）；在术后24、48h，观察组VAS评分均低于对照组（P<0.05）。与术前相比，两组ASES评分在术后3、6个月时均有上升（P<0.05）；在术后3、6个月时，观察组ASES评分均高于对照组（P<0.05）。观察组手术器材准备、手术安全配合、手术仪器管理、消毒隔离得分均高于对照组（P<0.05）。观察组术后不良反应总发生率及术中低温发生率均低于对照组（P<0.05）。 结论 灌注液温度管理联合模块化手术配合可有效减轻肩关节镜手术患者术后肿胀与疼痛、促进关节功能恢复，并降低不良反应及术中低温发生率，具有良好的临床应用价值。
[关键词] 灌注液温度管理；模块化手术配合；肩关节镜手术 |
| 关键词: 灌注液温度管理 模块化手术配合 肩关节镜手术 |
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| The application value of temperature management of infusion fluid combined with modular surgery in the nursing of patients undergoing shoulder arthroscopy surgery |
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应祎
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Jinhua Traditional Chinese Medicine Hospital
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| Abstract: |
| [Abstract] Objective To explore the nursing application value of perfusion fluid temperature management combined with modular surgery for patients undergoing shoulder arthroscopic surgery. Methods A total of 106 patients who underwent shoulder arthroscopic surgery in our hospital between July 2023 and June 2025 were retrospectively analyzed. Patients were allocated into two groups according to the perioperative nursing model implemented. Those who received routine nursing care from July 2023 to June 2024 were assigned to the control group (n = 53), whereas those who received perfusion fluid temperature management combined with modular surgical cooperation from July 2024 to June 2025 were assigned to the observation group (n = 53). The difference in shoulder circumference, Visual Analogue Scale (VAS) scores, American Shoulder and Elbow Surgeons (ASES) scores, incidence of adverse reactions, and incidence of intraoperative hypothermia were compared between the two groups. Results The difference of shoulder circumference between the two groups decreased immediately and 24 hours after operation (P<0.05); Right after the operation and 24 hours later, the shoulder - circumference difference in the observation group was smaller compared to that in the control group (P<0.05). The VAS scores of both groups showed a decline at 24 and 48 hours post - operation (P<0.05). Moreover, at 24 and 48 hours after the operation, compared with the control group, the observation group presented a lower VAS score (P<0.05). The ASES scores of the two groups rose at 3 and 6 months post - operation (P<0.05). And at 3 and 6 months after the operation, the observation group had higher ASES scores in comparison to the control group (P<0.05). The scores of operation equipment preparation, operation safety cooperation, operation instrument management, disinfection and the levels of isolation observed in the observation group surpassed those in the control group (P<0.05). The total incidence of postoperative adverse reactions and the observation group exhibited a lower rate of intraoperative hypothermia compared to the control group (P<0.05). Conclusion Perfusion fluid temperature management combined with modular surgical cooperation can effectively alleviate postoperative swelling and pain in patients undergoing shoulder arthroscopic surgery, promote the recovery of shoulder joint function, and reduce the incidence of adverse reactions as well as intraoperative hypothermia, thereby demonstrating favorable clinical applicability.
[Key words] Temperature management of infusion fluid; Modular operation cooperation; Arthroscopic shoulder surgery |
| Key words: Temperature management of infusion fluid Modular operation cooperation Arthroscopic shoulder surgery |