中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (9): 1553-1556.doi: 10.3969/j.issn.1673-8225.2011.09.009

• 人工假体 artificial prosthesis • 上一篇    下一篇

微创全髋关节置换后辅助镇痛下的早期康复训练

李璐寰1，潘  青1，曹永志2，高  卉2，许苏飞1，丛小玲1，杨  艺1，吴丽荣1   

  1. 1苏州卫生职业技术学院护理系，江苏省苏州市  215006
    2苏州大学附属第一医院骨科，江苏省苏州市  215006
  • 收稿日期:2010-10-10 修回日期:2010-11-24 出版日期:2011-02-26 发布日期:2011-02-26
  • 作者简介:李璐寰★，女，1979年生，山西省长治市人，汉族，2008年苏州大学应用心理学专业毕业，硕士，主管护师，讲师，主要从事临床护理、护理教育和护理心理工作。 liluhuan@126. com

Analgesics-assisted early functional exercise following minimally invasive total hip arthroplasty

Li Lu-huan1, Pan Qing1, Cao Yong-zhi2, Gao Hui2, Xu Su-fei1, Cong Xiao-ling1, Yang Yi1, Wu Li-rong1   

  1. 1Nursing Department of Suzhou Health College, Suzhou  215006, Jiangsu Province, China
    2Department of Orthopedics, First Hospital of Soochow University, Suzhou  215006, Jiangsu Province, China
  • Received:2010-10-10 Revised:2010-11-24 Online:2011-02-26 Published:2011-02-26
  • About author:Li Lu-huan★, Master, Nurse-in-charge, Lecturer, Nursing Department of Suzhou Health College, Suzhou 215006, Jiangsu Province, China liluhuan@126.com

PDF

482

被引次数

17

摘要：

背景：施行微创全髋关节置换后患者获得更好的关节功能不仅仅取决于手术，而与置换前关节的活动度、置换后康复锻炼等因素密切相关。
目的：观察辅助镇痛在微创全髋关节置换后早期康复锻炼中的意义。
方法：选择施行微创全髋关节置换的患者42例，随机分为2组，镇痛组在置换后口服塞来昔布下进行早期功能锻炼，对照组不予以止痛药处理。观察镇痛组与对照组目测类比疼痛评分，髋关节功能Harris评分和对手术的整体满意度的差异。
结果与结论：镇痛组置换后7 d内的目测类比疼痛评分明显优于对照组(P < 0.05)；镇痛组在置换后6个月内的Harris髋关节功能评分和对手术的整体满意度均明显优于对照组(P < 0.05)。结果表明辅助镇痛能有效减少置换后患者运动时的疼痛，有效地保证了置换后康复计划的顺利进行，短期内提高了髋关节功能。

关键词: 微创, 全髋关节置换, 塞来昔布, 辅助镇痛, 功能锻练, 医学植入物

Abstract:

BACKGROUND: The hip function after the minimally invasive total hip arthroplasty (MIS-THA) is associated with surgical techniques and post-operation functional exercise as well. 
OBJECTIVE: To observe the role of adjuvant analgesia in functional exercise after MIS-THA.
METHODS: Forty-two patients treated with MIS-THA were randomly assigned to two groups. Analgesics-assisted group orally administrated celecoxib and did early functional exercise, and the control was not treated with analgesics. Visual analog scale (VAS) scores, Harris scores and satisfaction to the operation in two groups were compared.
RESULTS AND CONCLUSION: The VAS scores of analgesics-assisted group were significantly lower than the control in 7 days after operation (P < 0.05); the Harris scores and the satisfaction rate of the analgesics group were higher than the control at 6 months after operation (P < 0.05). Celecoxib has the positive effect on the functional exercise after MISTHA and improved hip function in a short period of time.

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