中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (26): 4923-4926.doi: 10.3969/j.issn.1673-8225.2011.26.043

• 人工假体 artificial prosthesis • 上一篇    下一篇

综合康复干预对全髋置换后早期并发症的预防作用

杜杏利，方汉萍，方  忠，李  锋   

  1. 华中科技大学同济医学院附属同济医院骨科，湖北省武汉市  430030
  • 收稿日期:2011-01-04 修回日期:2011-04-16 出版日期:2011-06-25 发布日期:2011-06-25
  • 通讯作者: 方汉萍，副主任护师，华中科技大学同济医学院附属同济医院骨科，湖北省武汉市 430030
  • 作者简介:杜杏利★，女，1976年生，湖北省武汉市人，汉族，2006年华中科技大学毕业，硕士，主管护师，主要从事骨科护理康复研究。
  • 基金资助:

    国家自然科学基金资助(30772206)。

Preventive effect of comprehensive rehabilitation nursing on early complications of total hip arthroplasty

Du Xing-li, Fang Han-ping, Fang Zhong, Li Feng   

  1. Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan  430030, Hubei Province, China
  • Received:2011-01-04 Revised:2011-04-16 Online:2011-06-25 Published:2011-06-25
  • Contact: Fang Han-ping, Associate chief nurse, Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China hbwhlf@yahoo.com.cn
  • About author:Du Xing-li★, Master, Nurse-in-charge, Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China hbwhfz@yahoo. cn
  • Supported by:

    the National Natural Science Foundation of China, No. 30772206*

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724

被引次数

2

摘要：

背景:全髋关节置换后并发症发生率仍较高，置换后早期功能恢复能有效保证置换效果。
目的:评价综合康复干预在预防全髋关节置换后早期并发症中的作用。
方法:将90例全髋关节置换患者随机分为对照组和试验组，两组行全髋关节置换后均给予常规治疗、干预，其中试验组置换后给予综合康复干预，而对照组给予一般程序化康复干预。
结果与结论:两组患者在置换后1，2，12和20周Harris评分差异无显著性意义(P > 0.05)；试验组置换后2，12周关节脱位、感染、下肢深静脉血栓形成的发生率及置换后12周异位骨化的发生率均显著低于对照组(P < 0.01)。提示综合康复干预可明显减少全髋关节置换后早期并发症，有效促进髋关节的功能恢复。

关键词: 全髋关节置换, 康复训练, Harris评分, 置换后并发症

Abstract:

BACKGROUND: Although the early postoperative functional rehabilitation can effectively guarantee the results of operations, incidence rate of complications following total hip replacement is still high.
OBJECTIVE: To evaluate preventive effect of comprehensive rehabilitation care of early complications of total hip arthroplasty.
METHODS: Totally 90 total hip arthroplasty patients were randomly divided into control group and study groups equally. Both groups were given conventional treatment and care, of which the study group underwent comprehensive postoperative rehabilitation care. The control group received general procedure of rehabilitation care.
RESULTS AND CONCLUSION: There was no difference in postoperative Harris score at 1, 2, 12 and 20 weeks after surgery between study group and control group (P > 0.05). Compared with control group, the incidence of joint dislocation, infection, deep vein thrombosis of study group post-surgery 2 and 12 weeks, and the heterotopic ossification at 12 weeks after surgery were significantly lower (P < 0.01). These suggest that comprehensive rehabilitation care significantly reduces early complications of total hip replacement surgery, and effectively promotes the functional recovery of hip joint.

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