早期体位护理和康复训练对人工全髋关节置换术后功能的影响

Influence on Function following Total Hip Replcement from EarlyPositioning Nursing and Recuperative Training

目的 :通过良好的体位护理和关节肌肉的康复训练 ,使THR获得最佳疗效。方法 :将 1998年 7月～2 0 0 2年 7月收治的 188例股骨颈骨折行THR患者随机分为对照组 (82例 )和试验组 (10 6例 ) ,按Harris髋关节功能评分比较试验组和对照组在髋关节疼痛、畸形、功能及关节活动度改善等方面的差异。结果 :对照组中 6例早期发生髋关节后脱位 ,4例患肢深静脉血栓形成 ;试验组早期无一例深静脉血栓、脱位及假体周围骨折。按Har ris髋关节功能评定 ,试验组疼痛缓解程度、髋关节功能、关节活动度均较对照组明显改善 (P <0 0 5 )。结论 :合理的体位护理和良好的康复训练有助于患髋恢复到正常功能。

Objective:To study the affect of recuperative training and positioning nursing following the total hip replacement(THR).Methods:One hundred eighty-eight cases with THR were divided into the experimental group(106 cases) and the control group(82 cases),and the results were assessed based on Harris scores in ferms of joint pain,deformity,differences in improvement in function and joint motion.Results:There was no infection,dislocation,periprosthesis fracture and death in the experimental group.The posterior dislocation(6 cases)and deep phlebothrombosis(4 cases)were found in the control group.Based on the Harris scores for assessment of the function of the hip joint,the degree of pain relief,function of the hip joint,and joint mobility were all markedly improved than that of the control(P<0.05). Conclusion:The proper positioning nursing and good recuperative training were cyotimal to recover the joint function after THR.