Blood oxygen saturation monitoring and nursing intervention of patients after artificial joint replacement
10.3760/j.issn.1674-2907.2014.32.006
- VernacularTitle:人工关节置换术患者术后血氧饱和度的监测与护理干预
- Author:
Jianmei LIU
1
;
Meng FAN
;
Xi YANG
;
Fuqiang GAO
Author Information
1. 100029 北京，中日友好医院骨科
- Keywords:
Arthroplasty,replacement;
Perioperative nursing;
Hyoxemia
- From:
Chinese Journal of Modern Nursing
2014;20(32):4052-4055
- CountryChina
- Language:Chinese
-
Abstract:
Objective To find out the law of occurrence, clinical characteristics and interventions of hypoxemia after artificial joint replacement.Methods From January to April 2013, totals of 100 patients underwent artificial joint replacement and were retrospectively analyzed.Perioperative pulse oximetry ( SpO2 ) was measured and recorded its curved line, and then we compared Perioperative changes of SpO2 curve for different types of surgery.Results During perioperative period, the curves of SpO2 were stable and nearly consistent.After operation, the lowest value of SpO2 usually happened in the first day, and patients usually performed hyoxemia in one to two days;but the value of it would steady increase to normal in three to five days. For unilateral joint replacement patients, the values of SpO2 were one to two days after operation and three to five days after operation(91.9 ±2.5)%,(93.7 ±2.0)% which were less than the unilateral hip replacement [(93.3 ±2.2)% and (93.7 ±2.0)%](t=-2.789,-2.231,respectively;P<0.05).Conclusions For artificial joint replacement in perioperative period, the change of SpO2 has certain law that hyoxemia normally occur in the first day after operation especially for knee replacement patients.Medical staff should enforce nursing intervention to prevent it.
