老年股骨颈骨折患者髋关节置换术后应用艾灸配合按摩干预的临床效果研究

Study on clinical effect of moxibustion combined with massage intervention in elderly patients with femoral neck fracture after hip arthroplasty

目的分析老年股骨颈骨折患者髋关节置换术后应用艾灸配合按摩干预的临床效果。方法265例行髋关节置换术治疗的老年股骨颈骨折患者,按照入院时间不同分为对照组(2020年1~12月,128例)和观察组(2021年1~10月,137例)。对照组术后行常规干预,观察组术后在对照组基础上行艾灸配合按摩干预。对比两组患者时间指标、风险评估评分、日常生活能力量表(ADL)评分、Barthel指数及满意度、不良事件发生情况。结果观察组患者首次下床活动时间(3.20±0.26)d早于对照组的(5.62±0.35)d,骨折愈合时间(6.20±1.11)周、住院时间(7.55±1.37)d短于对照组的(8.25±1.23)周、(15.15±1.66)d,差异均具有统计学意义(P<0.05)。干预后,观察组患者压疮、跌倒、管理、静脉血栓风险评估评分分别为(89.69±3.75)、(91.89±6.32)、(89.66±2.82)、(89.37±3.23)分,均高于对照组的(78.83±3.83)、(81.18±5.20)、(76.67±2.57)、(82.11±3.62)分,差异具有统计学意义(P<0.05)。观察组患者ADL评分、Barthel指数分别为(81.27±3.35)、(88.21±3.72)分,均高于对照组的(72.71±3.33)、(76.52±3.67)分,差异具有统计学意义(P<0.05)。观察组患者总满意率94.89%高于对照组的81.25%,不良事件发生率5.84%低于对照组的14.84%,差异具有统计学意义(P<0.05)。结论老年股骨颈骨折患者髋关节置换术后应用艾灸配合按摩干预的临床价值较高,可有效降低术后风险,提升日常生活能力,促使患者及早恢复,值得临床推广应用。

Objective To analyze the clinical effect of moxibustion combined with massage intervention in elderly patients with femoral neck fracture after hip arthroplasty.Methods A total of 265 elderly patients with femoral neck fractures treated by hip arthroplasty were divided into control group(January-December 2020,128 cases)and observation group(January-October 2021,137 cases)according to the time of admission.The control group received routine intervention after surgery,while the observation group received moxibustion combined with massage intervention on the basis of the control group after surgery.The time-related indicators,risk assessment score,activities of daily living(ADL)score,Barthel index,satisfaction,and occurrence of adverse events were compared between the two groups.Results The first ambulant time(3.20±0.26)d in the observation group was earlier than(5.62±0.35)d in the control group;the fracture healing time(6.20±1.11)weeks and hospital stay(7.55±1.37)d in the observation group were shorter than(8.25±1.23)weeks and(15.15±1.66)d in the control group;the differences were all statistically significant(P<0.05).After the intervention,the pressure sores,falls,management,venous thrombosis risk assessment score in the observation group were(89.69±3.75),(91.89±6.32),(89.66±2.82),(89.37±3.23)points,which were higher than(78.83±3.83),(81.18±5.20),(76.67±2.57),(82.11±3.62)points in the control group,and the differences were all statistically significant(P<0.05).The ADL score and Barthel index of the observation group were(81.27±3.35)and(88.21±3.72)points,which were higher than(72.71±3.33)and(76.52±3.67)points of the control group,and the differences were all statistically significant(P<0.05).The total satisfaction rate in the observation group was 94.89%,which was higher than 81.25%in the control group,and the incidence of adverse events in the observation group was 5.84%,which was lower than 14.84%in the control group,and the difference was statistically significant(P<0.05).Conclusion Moxibustion combined with massage intervention after hip arthroplasty in elderly patients with femoral neck fracture has high clinical value,which can effectively reduce postoperative risks,improve activities of daily living and promote early recovery of patients,and is worthy of clinical promotion and application.