前外侧与后外侧入路对髋关节置换术后康复的影响
Effect of the anterolateral and posterolateral approaches in hip replacement surgery on the postoperative recovery
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摘要: 目的:探讨髋关节置换术前外侧手术入路与后外侧手术入路对康复治疗的影响。方法:将骨科行髋关节置换术的60例患者按入院顺序分为前外侧组和后外侧组,各30例;2组分别给予治疗前后评定和综合康复训练,观察2组患者置换术前和置换术后康复治疗第3天、第10天的日常生活活动能力、疼痛视觉模拟评分(VAS)及周径测量变化。结果:2组患者置换术后康复治疗第3天和第10天ADL差异均有统计学意义(P < 0.01),2组患者置换术后康复治疗第3天VAS评分差异均有统计学意义(P < 0.01),2组患者置换术后康复治疗第3天和第10天周径测量差异均无统计学意义(P > 0.05)。结论:不同手术入路对髋关节置换术后患者日常生活活动能力影响不大,但前外侧组疼痛与肿胀较后外侧组改善时间缩短。Abstract: Objective: To investigate the effects of the anterolateral and posterolateral approaches in hip replacement surgery on the postoperative recovery.Methods: Sixty patients treated with hip replacement surgery were randomly divided into the anterolateral group and posterolateral group(30 cases each group).The assessment before and after treatment,and comprehensive recovery training in two groups were implemented.The ability of daily movement,VAS score and perimeter measurement in two groups were observed before and after hip replacement surgery,and after 3 and 10 days of rehabilitation treatment.Results: The differences of the activities of daily living(ADL) between two groups treated with hip replacement surgery after 3 and 10 days of rehabilitation treatment were statistically significant(P < 0.01).The difference of the VAS score between two groups treated with hip replacement surgery after 3 days of rehabilitation treatment was statistically significant(P < 0.01).The differences of the circumference measurement between two groups treated with hip replacement surgery after 3 and 10 days of rehabilitation treatment were not statistically significant(P > 0.01).Conclusions: The effect of different surgery approaches on the ability of daily movement of postoperative patients treated with hip replacement surgery is small.Compared with the posterolateral group,the improvement time of the pain and swelling in anterolateral group after surgery shorten significantly.
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Key words:
- hip joint replacement /
- surgery approach /
- recovery
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[1] 齐向北,张英泽,潘进社,等.术后早期康复训练对高龄髋关节置换患者功能恢复的影响[J].中华物理医学与康复杂志,2009,31(3):188. [2] CHEN AH,FRANGOS SG,KILARU S,et al.Intermittent pneumatic comprression derices-physiological mechanisms of action[J].Eur J Vasc Endovasc Surg,2001,21(5):383. [3] WHITELAW GP,OLADIPO OJ,SHAH BP,et al.Evaluation of intermittent pneumatic compression devices[J].Orthopedics ,2001,24(3):257. [4] 吴立东,严世贵,杨泉森.中华临床骨外科治疗[M].北京:科学技术文献出版社,2008. [5] 陆廷仁.骨科康复学[M].北京:人民卫生出版社,2007:15. [6] 关骅,张光柏.中国骨科康复学[M].北京:人民军医出版社,2011:542. [7] 罗盛清,梁业梅.髋关节置换术后无痛康复治疗效果观察[J].中国护理学,2012,12(B):3328. [8] 陈亚芬,陈麟麟.同步家属健康教育对全髋关节置换术后疗效的影响[J].福建中医药,2010,41(1):85. [9] 张吉花.护理干预在预防人工髋关节置换术后并发症的运用探讨[J].吉林医学,2012,33(19):112. [10] 陈智群,曾秋香,罗良华.持续性健康教育在高龄患者人工髋关节置换术中的应用[J].中国现代医药杂志,2013,15(10):172. [11] DORA C,CAMPE AV,MENGIARDI B,et al.Simplified wound care and earlier wound recovery without closed suction drainage in elective total hip arthroplasty.A prospective randomized trial in 100 operations[J].Arch Opthop Trauma Surg,2007,127(10):919. [12] 李延辉.个体化康复治疗对老年全髋关节置换术患者预后的影响[J].中国老年学,2013,10(33):5170. [13] 龙晖.髋关节假体置换与临床康复治疗[J].中国组织工程研究与临床康复,2010,14(22):4085. [14] 唐梅,敖丽娟.股骨颈骨折手术及髋关节置换术后的程序化康复治疗[J].中国临床康复,2002,8(6):2712. [15] 陈巧玲,全小明.全髋关节置换术后引流放置的对比研究[J].护士进修杂志,2009,24(4):295. [16] 周明英.髋关节置换术后并发症的预防护理进展[J].全科护理,2011,9(8B):2131. [17] 张海娇,李胜玲,梅迎雪.快速康复外科联合自理模式在老年人全髋关节置换术后的应用[J].中国老年学,2013,33(3):555. [18] 朱蓝玉,秦彦国,王艳华,等.生物型人工全髋关节置换治疗髋关节骨关节炎的中期疗效评估[J].中国组织工程研究与临床康复,2010,14(48):8937. [19] 李霞,奚继明,孟翠巧,等.系统功能训练对髋关节置换术后深静脉血栓形成的预防作用[J].中国老年学,2013,33(8):1939. -

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