在接受全膝关节置换的老年患者中,决定早期动员的因素
Li-Ling Hung1, Yong-Chuan Chen1, Yu-Ting Wang2
1Department of Nursing, Taichung Veterans General Hospital, Taichung, 407, Taiwan.
BMC geriatrics
|February 20, 2025
概括
在全膝关节置换 (TKR) 后的早期动员受血压等因素的影响. 在24小时内动员,可以减少住院时间,但不会增加跌倒的风险.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 康复科学科学 康复科学
背景情况:
- 在全膝关节置换术 (TKR) 后的早期动员 (EM) 对于恢复和并发症预防至关重要.
- 了解影响EM及其结果的因素对于患者护理至关重要.
研究的目的:
- 确定影响初级TKR后早期动员 (EM) 的因素.
- 评估EM对跌倒风险和住院时间 (LOS) 的影响.
主要方法:
- 对1759名接受初级TKR的老年患者进行了回顾性分析.
- 患者分为EM (在24小时内动员) 和延迟动员 (EM,>24小时).
- 收集的数据包括人口统计,疼痛评分 (VAS),ASA评分,血压和并发症.
主要成果:
- 年龄,较高的ASA分数,VAS,肌肉强度和血压变化在EM和EM(-) 组之间存在显著差异.
- 患者在手术后经历了更大的缩血压降低.
- 停留时间 (LOS) 对于EM(-) 患者来说显著更长;跌倒风险没有显著差异.
结论:
- 降低血压是阻碍TKR后早期动员的一个关键因素,需要注意.
- 在TKR后保持稳定的血压支持成功的患者动员.
- 在TKR后24小时内早期动员可能会缩短LOS而不增加跌倒风险.
更多相关视频
05:07Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
1.5K
07:22Glycemic Impact on Knee Osteoarthritis Symptoms on Physical, Radiographic, and Inflammatory Markers among Individuals Aged 50 and Over with Diabetes
Published on: March 7, 2025
185
相关概念视频
Drug Dosing: Geriatric Patients
395
Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
395
Pharmacodynamics in Geriatric Patients: Effects of Age
367
Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
367
