首页|热敏灸联合热熨敷对髋关节置换术后肢体肿胀疼痛患者的治疗效果分析

热敏灸联合热熨敷对髋关节置换术后肢体肿胀疼痛患者的治疗效果分析

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目的:观察热敏灸联合热熨敷对髋关节置换术后肢体肿胀疼痛患者的治疗效果。方法:选取 2021年 7月—2022年 12月江西中医药大学附属医院骨科收治的 90例髋关节置换术后肢体肿胀疼痛患者为研究对象,根据随机数字表法分为A、B、C组,各 30例。A组给予常规护理;B组在A组基础上联合热敏灸护理;C组在B组基础上联合热熨敷护理。比较三组髋关节置换手术部位的肿胀程度、疼痛程度及髋关节功能。结果:术后第 5、7天,C组肿胀程度评分均低于A、B组,差异均有统计学意义(P<0。05)。术后第 5天,C组疼痛视觉模拟(VAS)评分均低于A、B组,差异均有统计学意义(P<0。05);术后第 7天,C组VAS评分低于A组,差异有统计学意义(P<0。05)。术后 2周,C组Harris髂关节功能评分量表(HHS);评分高于A组,差异有统计学意义(P<0。05);术后 3个月,C组HHS评分均高于A、B组,差异均有统计学意义(P<0。05)。结论:热敏灸联合热熨敷用于髋关节置换术后肢体肿胀疼痛患者,能改善肿胀程度、缓解患肢疼痛,且有益于改善术后髋关节功能。
Effect Analysis of Heat Sensitive Moxibustion Combined with Heat Ironing on Patients with Limb Swelling and Pain after Hip Joint Replacement
Objective:To observe the effect of heat-sensitive moxibustion combined with heat-ironing on limb swelling and pain after hip replacement.Methods:A total of 90 patients with limb swelling and pain after hip replacement admitted to the Department of Orthopedics in Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from July 2021 to December 2022 were selected as the study objects,and were divided into group A,B and C according to random number table method,with 30 cases each.Group A was given routine nursing;group B was given heat-sensitive moxibustion on the basis of group A;group C was given hot ironing on the basis of group B.The swelling and pain degree of the hip replacement site and hip function of the three groups were compared.Results:Five and seven days after operation,the swelling degree score of group C were lower than those of group A and group B,the differences were statistically significant(P<0.05).Five days after surgery,the pain Visual Analogue Scale score of group C were lower than those of group A and group B,with statistical significances(P<0.05).Seven days after operation,the VAS score of group C was lower than that of group A,the difference was statistically significant(P<0.05).At 2 weeks after operation,the Harris hip function Scale(HHS)score of group C was higher than that of group A,the difference was statistically significant(P<0.05).Three months after operation,the HHS score of group C were higher than those of group A and group B,the differences were statistically significant(P<0.05).Conclusion:Early application of heat-sensitive moxibustion combined with traditional Chinese medicine hot ironing in the treatment of patients with swelling and pain after hip arthroplasty can improve swelling degree,relieve pain of affected limb,and improve hip joint function.

Hip replacementHeat-sensitive moxibustionHot ironingSwell

闵燕、张丹丹、黄丽君、李会敏、马明云、苗如婷

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南昌大学第一附属医院护理部,江西 南昌 330006

南昌大学护理学院,江西 南昌 330006

江西中医药大学附属医院骨科,江西 南昌 330006

髋关节置换术 热敏灸 热熨敷 肿胀

江西省中医药管理局科技计划项目

2020A0028

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(17)