中药熏洗联合早期优质功能锻炼在股骨头坏死患者术后护理中的应用OA
Application of Traditional Chinese Medicine Fumigation and Washing Combined with Early High-Quality Functional Exercise in Postoperative Care of Patients with Necrosis of the Femoral Head
目的 研讨中药熏洗联合早期优质功能锻炼在股骨头坏死患者术后护理中的应用.方法 选取 2020 年 1 月至2022 年 10 月在河南中医药大学第一附属医院进行股骨头坏死手术的 80 例股骨头坏死患者,采用简单随机分组将患者分为中药联合组和常规锻炼组,各 40 例.常规锻炼组患者采用早期优质功能锻炼,中药联合组患者在常规锻炼组的基础上采用中药熏洗进行护理,两组均持续3个月.分别在术前和术后,比较两组股骨头坏死患者髋关节功能评分(Harris)、日常生活能力评分(ADL)、凝血指标[纤维蛋白原(FIB)和凝血酶时间(TT)],比较两组术后 1 d、3 d、7 d视觉模拟评分法(VAS)评分,术后并发症发生率.结果 术后 3 个月,两组患者Harris评分和ADL评分均有所提高,且中药联合组评分高于常规锻炼组,差异有统计学意义(P＜0.05).术后1 d,两组患者VAS评分比较,差异无统计学意义(P＞0.05);术后 3 d、7 d,中药联合组VAS评分均低于常规锻炼组,差异有统计学意义(P＜0.05).术后 7 d,两组患者FIB、TT水平均有所下降,且中药联合组FIB、TT水平低于常规锻炼组,差异有统计学意义(P＜0.05).术后 3 个月,中药联合组并发症(压疮、关节脱位、肺部感染)发生率(5.00%)低于常规锻炼组(15.00%),差异无统计学意义(P＞0.05).结论 中药熏洗联合早期优质功能锻炼应用于股骨头坏死患者术后护理能提高患者髋关节能力和日常生活能力,减轻术后疼痛程度.
Objective To discuss the application of traditional Chinese medicine fumigation and washing combined with early high-quality functional exercise in postoperative care of patients with necrosis of the femoral head.Methods 80 patients with necrosis of the femoral head who underwent surgery in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2020 to October 2022 were selected.They were divided into the traditional Chinese medicine combination group and the regular exercise group by simple random grouping,with 40 cases in each group.The regular exercise group patients were given early high-quality functional exercise,and the traditional Chinese medicine combination group patients were given traditional Chinese medicine fumigation and washing for nursing on the basis of the regular exercise group,and both groups continued for 3 months.Before and after surgery,the hip joint function score(Harris),daily life ability score(ADL),coagulation indicators[fibrinogen(FIB)and thrombin time(TT)],visual analogue scale(VAS)score at 1 d,3 d,and 7 d after surgery,and the incidence of postoperative complications of the two groups of patients with necrosis of the femoral head were compared.Results Three months after surgery,the Harris scores and ADL scores of both groups of patients increased,and the scores of the traditional Chinese medicine combination group were higher than those of the regular exercise group,and the difference was statistically significant(P＜0.05).On the 1st day after surgery,the VAS scores of the two groups of patients were compared,and the difference was not statistically significant(P＞0.05);on the 3rd and 7th days after surgery,the VAS scores of the traditional Chinese medicine combination group were lower than those of the regular exercise group,and the difference was statistically significant(P＜0.05).On the 7th day after surgery,the FIB and TT levels of both groups of patients decreased,and the FIB and TT levels of the traditional Chinese medicine combination group were lower than those of the regular exercise group,and the difference was statistically significant(P＜0.05).Three months after surgery,the incidence of complications(pressure sores,joint dislocation,lung infection)in the traditional Chinese medicine combination group(5.00%)was lower than that in the regular exercise group(15.00%),and the difference was not statistically significant(P＞0.05).Conclusion The application of traditional Chinese medicine fumigation and washing combined with early high-quality functional exercise in postoperative care of patients with necrosis of the femoral head can improve the hip joint ability and daily life ability of patients,and alleviate postoperative pain.
齐静;袁冬;冯雪英
河南中医药大学第一附属医院 骨伤科一区,河南 郑州 450000中牟县人民医院 心内科一区,河南 郑州 451450
中医学
中药熏洗早期优质功能锻炼股骨头坏死术后护理
traditional Chinese medicine fumigation and washingearly high-quality functional exercisenecrosis of the femoral headpostoperative care
《临床研究》 2024 (006)
181-184 / 4
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