【摘要】 目的 探讨人工全髋关节置换术的康复护理及临床效果。方法 104例人工全髋关节置换术患者， 根据数字表法分为对照组和康复护理组， 各52例。对照组采用常规护理干预， 康复护理组在对照组基础上实施康复护理。比较两组治疗效果、切口愈合时间、下床活动时间、术后住院时间及干预前后髋关?功能评分标准（HARRIS）评分、改良Barthel指数评定量表（BI）指数。结果 康复护理组髋关节功能优良率为96.15%， 明显高于对照组的80.77%， 差异有统计学意义（P0.05）。干预前两组HARRIS评分、改良BI指数比较差异无统计学意义（P0.05）;干预后康复护理组HARRIS评分、改良BI指数均高于对照组， 差异有统计学意义（P0.05）。康复护理组切口愈合时间、下床活动时间、术后住院时间均短于对照组， 差异有统计学意义（P0.05）。结论 人工全髋关节置换术的康复护理效果确切， 可加速下床活动和切口愈合， 缩短住院时间， 改善患者髋关节功能和生活能力， 值得推广。
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【关键词】 人工全髋关节置换术;康复护理;施行意义
DOI：10.14163/j.cnki.11-5547/r.2018.03.094
【Abstract】 Objective To discuss the rehabilitation nursing of artificial total hip arthroplasty and its clinical effect. Methods A total of 104 patients with artificial total hip arthroplasty were divided by number table method into control group and rehabilitation nursing group， with 52 cases in each group. The control group received conventional nursing intervention， and the rehabilitation nursing group received rehabilitation nursing on the basis of the control group. Comparison were made on treatment effect， incision healing time， off-bed activity time， postoperative hospitalization time and hip function score standard （Harris） score， improved Barthel index （BI） rating scale before and after intervention between two groups. Results The rehabilitation nursing group had obviously higher good rate of hip joint function as 96.15% than 80.77% in the control group， and the difference was statistically significant （P0.05）. Before intervention， both groups had no statistically significant difference in Harris score and improved BI （P0.05）. After nursing， the rehabilitation nursing group had higher Harris score and improved BI than the control group， and the difference was statistically significant （P0.05）. The rehabilitation nursing group had shorter incision healing time， off-bed activity time and postoperative hospitalization time than the control group， and the difference was statistically significant （P0.05）. Conclusion Artificial total hip arthroplasty shows affirmative rehabilitation nursing effect and can accelerate off-bed activity and incision healing， shorten hospitalization time， improve hip function and living ability of the patients. It is worth popularizing.
【Key words】 Artificial total hip arthroplasty; Rehabilitation nursing; Significance of implementation
人工全髋关节置换术在髋关节疼痛、畸形和功能障碍疾病治疗中广泛应用， 多数人工全髋关节置换术患者为老年人， 合并多种内科疾病， 加上人工全髋关节置换术可带来较大的创伤， 需加强对患者的康复护理， 以提高其术后生活质
量[1， 2]。本研究分析了人工全髋关节置换术的康复护理及施行意义， 报告如下。
发表于 2018-8-15 22:45:06