[1]范若焱.骨科康复训练在预防人工髋关节置换术后深静脉血栓形成的作用[J].医学信息,2021,34(15):122-124,130.[doi:10.3969/j.issn.1006-1959.2021.15.032]
　FAN Ruo-yan.The Role of Orthopedic Rehabilitation Training in Preventing Deep Vein Thrombosis After Artificial Hip Replacement[J].Medical Information,2021,34(15):122-124,130.[doi:10.3969/j.issn.1006-1959.2021.15.032]
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骨科康复训练在预防人工髋关节置换术后深静脉血栓形成的作用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年15期
页码:
122-124,130
栏目:
临床研究
出版日期:
2021-08-01

文章信息/Info

Title:
The Role of Orthopedic Rehabilitation Training in Preventing Deep Vein Thrombosis After Artificial Hip Replacement
文章编号:
1006-1959（2021）15-0122-04
作者:
范若焱
（天津市泰达医院骨科，天津 300457）
Author(s):
FAN Ruo-yan
(Department of Orthopedics,TEDA Hospital,Tianjin 300457,China)
关键词:
人工髋关节置换术; 骨科康复训练; 深静脉血栓形成; 髋关节功能
Keywords:
Artificial hip replacement; Orthopedic rehabilitation training; Deep vein thrombosis; Hip joint function
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2021.15.032
文献标志码:
A
摘要:
目的 探讨骨科康复训练在预防人工髋关节置换术后深静脉血栓形成的作用。方法 选取2019年5月~2020年11月我院接受人工髋关节置换术治疗的患者60例，按照随机数表法分为实验组和参考组，每组30例。参考组予以常规康复，实验组予以骨科康复训练，比较两组术后康复指标、髋关节功能恢复情况、股动静脉血流速度、并发症发生情况及康复满意度。结果 实验组首次下地活动时间、置管时间、住院时间短于参考组，引流量低于参考组，差异有统计学意义（P＜0.05）；实验组髋关节疼痛、畸形评分低于参考组，功能、关节活动度评分高于参考组，差异有统计学意义（P＜0.05）；实验组股动静脉及股动脉峰值流速及平均流速高于参考组，差异有统计学意义（P＜0.05）；实验组并发症总发生率为6.67%，低于参考组的26.67%，差异有统计学意义（P＜0.05）；实验组康复内容、服务态度、康复质量、康复效果满意度评分高于参考组，差异有统计学意义（P＜0.05）。结论 骨科康复训练在预防人工髋关节置换术后深静脉血栓形成的作用确切，可促进患者髋关节功能恢复，改善股动静脉血液循环，缩短康复进程，还可提高患者康复满意度。
Abstract:
Objective To explore the role of orthopedic rehabilitation training in preventing deep vein thrombosis after artificial hip replacement.Methods A total of 60 patients who underwent artificial hip replacement in our hospital from May 2019 to November 2020 were selected and divided into experimental group and reference group according to the random number table method, with 30 cases in each group.The reference group received routine rehabilitation, and the experimental group received orthopedic rehabilitation training. The two groups were compared with postoperative rehabilitation indicators, hip joint function recovery, blood flow velocity of femoral artery and vein, complications and rehabilitation satisfaction.Results The experimental group’s first activity time, intubation time, and hospital stay were shorter than those of the reference group, and the drainage volume was lower than that of the reference group,the difference was statistically significant(P<0.05);The scores of hip pain and deformity of the experimental group were lower than those of the reference group, and the scores of function and joint range of motion were higher than those of the reference group, the difference was statistically significant (P<0.05);The peak flow velocity and average flow velocity of the femoral artery and vein and femoral artery of the experimental group were higher than those of the reference group,the difference was statistically significant (P＜0.05);The total incidence of complications in the experimental group was 6.67%, which was lower than the 26.67% in the reference group,the difference was statistically significant (P＜0.05);The scores of rehabilitation content, service attitude, rehabilitation quality, and rehabilitation effect satisfaction of the experimental group were higher than those of the reference group,the difference was statistically significant (P<0.05).Conclusion Orthopedic rehabilitation training has a definite effect in preventing deep vein thrombosis after artificial hip replacement. It can promote the recovery of hip joint function, improve femoral arteriovenous blood circulation, shorten the rehabilitation process, and improve patient satisfaction with rehabilitation.

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更新日期/Last Update: 1900-01-01