[1]金姬延* 姜伟 许蕊凤 黄萍.连续股神经阻滞的安全隐患分析及护理[J].中国微创外科杂志,2015,15(10):958-960.
　Jin Jiyan,Jiang Wei,Xu Ruifeng,et al.Safety Analysis and Nursing Experience of Continuous Femoral Nerve Blocks[J].Chinese Journal of Minimally Invasive Surgery,2015,15(10):958-960.
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连续股神经阻滞的安全隐患分析及护理()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年10期
页码:
958-960
栏目:
护理园地
出版日期:
2015-10-20

文章信息/Info

Title:
Safety Analysis and Nursing Experience of Continuous Femoral Nerve Blocks
作者:
金姬延* 姜伟 许蕊凤 黄萍
（北京大学第三医院骨科，北京100191）
Author(s):
Jin Jiyan;  Jiang Wei;  Xu Ruifeng;  et al.
Department of Orthopaedics, Peking University Third Hospital, Beijing 100191, China
关键词:
连续股神经阻滞; 全膝关节置换术; 跌倒; 护理
Keywords:
Continuous femoral nerve blocks; Total knee arthroplasty; Fall; Nursing
分类号:
R473.6
文献标志码:
B
摘要:
目的通过对全膝关节置换（total knee arthroplasty,TKA）术后使用连续股神经阻滞（continuous femoral nerve block,CFNB）镇痛泵的患者进行针对性护理干预，减少使用连续股神经阻滞镇痛的安全隐患。方法2010年1月~2014年12月共行2852例TKA，术后均使用CFNB镇痛泵，2012年12月前1483例采用常规护理，2013年1月后1369例加强安全管理，采用针对性护理，回顾病例资料，统计不良事件如患者跌倒的发生情况。结果2012年12月前1483例发生不良事件6例（0.4%），均为跌倒，2013年1月后1369例未发生不良事件，二者差异有显著性（Fisher检验，P=0.032）。结论完善预防跌倒流程，术后早期采取干预措施，可以有效减少连续股神经阻滞镇痛的跌倒安全隐患的发生。
Abstract:
ObjectiveTo reduce safety risks of patients who use continuous femoral nerve block (CFNB) after total knee arthroplasty (TKA) by applying intensive nursing care. MethodsThere were 2852 cases of TKA receiving CFNB after operation performed in this ward from January 2010 to December 2014. Among them, 1483 cases before December 2012 were followed by normal nursing care, while 1369 cases after January 2013 were followed by intensive nursing care. By reviewing case data, the number of occurrences of adverse events, such as falls, was counted. ResultsThere were 6 cases (0.4%) of adverse events occurred after operation, all of which were falls, before December 2012, while no adverse events from January 2013 to December 2014 was observed. The difference between the two groups was significant (Fisher’s Exact Test, P=0.032).ConclusionImprovement of fall prevention protocol and early intervention after operation can effectively reduce the incidence of falls.

参考文献/References:

[1]Sharma S,Iorio R,Specht LM,et al.Complications of femoral nerve block for total knee arthroplasty.Clin Orthop Relat Res,2010,468(1):135-140.
[2]Kandasami M,Kinninmonth AW,Sarungi M,et al.Femoral nerve block for total knee replacement-a word of caution.Knee,2009,16(2):98-100.
[3]刘研,陈秀云,许莹莹.护理干预对应用股神经阻滞止痛技术病人意外歪倒的影响.护理研究,2012,26(5):453-454.
[4]倪文宗,李颖川,王爱忠.超声引导下连续股神经阻滞在全膝关节置换术术后镇痛中的应用.上海医学,2012,35(4):291-294.
[5]任玉香,李九群,张洪雷，等.连续股神经阻滞镇痛的护理方法与效果观察.齐齐哈尔医学院学报,2013,34(13):1981-1982.

备注/Memo

备注/Memo:
*通讯作者，E-mail：jinjiyan805@sina.com
更新日期/Last Update: 2016-02-03