人工髋关节置换术后康复护理的效果评价

Effectiveness Evaluation of Rehabilitation Nursing after Total Hip Replacement

目的探讨人工髋关节置换术(total hip replacement,THR)后患者康复护理的方法和效果。方法选择2005年3月至2008年12月在我院接受THR术的患者64例,分为对照组和康复组各32例。对照组采用常规护理方法,康复组在常规护理的基础上制定并实施全面、系统的康复护理,分别于术后第1、3个月末采用Harris髋关节评分法进行效果评价。结果根据髋关节Harris评分等级,术后3个月,康复组优26例,较好6例;对照组优10例,较好14例,良8例。两组患者术后1个月和3个月的Harris髋关节评分均有统计学差异(P<0.01)。结论THR患者术后系统化、规范化康复护理对恢复髋关节功能和防止并发症的发生有重要作用,是提高THR治疗效果的有效措施。

Objective To investigate the method and effectiveness of rehabilitation nursing after total hip replacement（THR）.Methods Sixty-four patients treated with THR in our hospital from Mar.2005 to Dec.2008 were randomly divided into the control group and the rehabilitation group with 32 patients in each group.The control group was given regular nursing.The rehabilitation group was given comprehensive and systematic rehabilitation nursing in addition to regular nursing.Harris hip scores were conducted at the end of 1 month and 3 months after the operation.Results After 3 months of operation,the overall outcome were excellent in 26 cases and better in 6 cases in the rehabilitation group according to Harris hip score while the overall outcome were excellent in 10 cases,better in 14 cases and good in 8 cases in the control group.There were significant differences in Harris hip scores after 1 month and 3 months between the two groups（P0.01）.Conclusion Comprehensive and systematic rehabilitation nursing plays an important role in the rehabilitation of the hip function and preventing postoperative complications after THR.It is an effective measure for enhancing the treatment of THR.