Application of intraoperative nursing cooperation in patients undergoing artificial knee replacement surgery and analysis of its impact on the overall incidence of complications
术中护理配合在人工膝关节置换术患者中的应用及对并发症总发生率的影响分析

摘要

目的 探讨系统性术中护理配合在人工膝关节置换术（TKA）中的应用效果及其对患者术后并发症总发生率的影响。方法 采用前瞻性队列研究设计，纳入128例TKA患者，随机分为实验组（系统性术中护理配合）与对照组（常规护理）。主要观察指标为术后30天内并发症总发生率，次要指标包括手术时间、术中出血量及住院时间。结果 实验组并发症总发生率显著低于对照组。具体而言，感染、深静脉血栓及假体位置异常发生率均显著降低（P<0.05）。实验组手术时间更短，术中出血量更少，住院时间缩短。结论 系统性术中护理配合可显著降低TKA患者术后并发症风险，优化手术效率并加速康复进程。

Abstract

Objective To explore the application effect of systematic intraoperative nursing cooperation in total knee arthroplasty (TKA) and its impact on the overall incidence of postoperative complications in patients.
Methods A prospective cohort study design was adopted, including 128 TKA patients who were randomly divided into an experimental group (systematic intraoperative nursing cooperation) and a control group (routine nursing). The main outcome measure is the total incidence of complications within 30 days after surgery, and the secondary indicators include surgery time, intraoperative blood loss, and hospital stay.
Results The total incidence of complications in the experimental group was significantly lower than that in the control group. Specifically, the incidence of infection, deep vein thrombosis, and abnormal position of prostheses were significantly reduced (P<0.05). The experimental group had shorter surgical time, less intraoperative bleeding, and shorter hospital stay.
Conclusion   Systematic intraoperative nursing cooperation can significantly reduce the risk of postoperative complications in TKA patients, optimize surgical efficiency, and accelerate the rehabilitation process.