首页|加速康复外科理念护理对股骨头坏死患者人工股骨头置换术后疼痛和康复的干预效果

加速康复外科理念护理对股骨头坏死患者人工股骨头置换术后疼痛和康复的干预效果

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目的:分析加速康复外科理念护理对股骨头坏死患者人工股骨头置换术后疼痛和康复的干预效果。方法:选取2021年1月—2023 年9月弋阳县中医院收治的60例股骨头坏死患者为研究对象,根据奇偶数列法将其分为观察组和对照组,各 30例。两组均行单侧人工股骨头置换术,观察组采用加速康复外科理念护理干预,对照组采用常规化护理干预。比较两组临床指标、疼痛程度、并发症发生情况、关节活动度、髋关节功能。结果:观察组术后引流管拔出时间、住院时间和康复时间均短于对照组,差异均有统计学意义(P<0。05)。术后 1、4、6周,观察组疼痛视觉模拟评分均低于对照组,差异均有统计学意义(P<0。05)。观察组并发症发生率为6。67%,低于对照组的33。33%,差异有统计学意义(P<0。05)。术后3个月,观察组关节活动度均高于对照组,差异均有统计学意义(P<0。05)。术后 6周、3个月,观察组Harris髋关节功能评分量表评分均高于对照组,差异均有统计学意义(P<0。05)。结论:加速康复外科理念护理应用于股骨头坏死患者人工股骨头置换术后护理中,可以减轻患者疼痛程度,提升康复干预效果,加快髋关节功能恢复,降低并发症发生率。
Effect of Fast Track Surgery Nursing on Pain and Rehabilitation of Patients with Femoral Head Necrosis after Artificial Femoral Head Replacement
Objective:To analyze the intervention effect of fast track surgery nursing on pain and rehabilitation of patients with femoral head necrosis after artificial femoral head replacement.Methods:A total of 60 patients with femoral head necrosis admitted to Yiyang Hospital of Traditional Chinese Medicine from January 2021 to September 2023 were selected as the study objects,and were divided into an observation group and a control group according to odd-even series method,with 30 cases in each group.Both groups underwent unilateral artificial femoral head replacement.The observation group was treated with accelerated rehabilitation surgery,while the control group was treated with control nursing intervention.The clinical indexes,pain degree,complications,range of motion and hip function were compared between the two groups.Results:The postoperative drainage tube extraction time,hospital stay and rehabilitation time in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).At 1,4 and 6 after operation,the Pain Visual Analogue Scale scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of surgical complications in the observation group was 6.67%,which was lower than 33.33%in the control group,the difference was statistically significant(P<0.05).Three months after operation,the range of motion of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05).At 6 weeks and 3 months after operation,the Harris Hip Function Scale score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The application of the concept of fast track surgery nursing of patients with femoral head necrosis after artificial femoral head replacement can reduce the pain degree of patients,improve the effect of rehabilitation intervention,and accelerate the recovery of hip joint function,reduce complication rate.

Femoral head necrosisFast track surgery nursingArtificial femoral head replacementPain

张婕

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江西省弋阳县中医院手术室,江西 上饶 334000

股骨头坏死 加速康复外科理念护理 人工股骨头置换术 疼痛

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(19)