臀肌挛缩症32例的康复护理  

Rehabilitation of 32 patients with gluteal muscle contracture

作　　者：王微微[1] 顾明[1] 商银娟[1] 袁晓玲[1] 刘立娟[1] 包浩莹[1] 

机构地区：[1]南京军区南京总医院骨科,江苏南京210002

出　　处：《实用临床医药杂志》2012年第8期62-64,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨臀肌挛缩症安全有效的护理措施。方法对32例臀肌挛缩症患者进行回顾性的探讨,通过疗效判定标准进行结果判定,评估其护理效果。结果患者通过术前的排尿护理及术前常规的护理,术后通过体位护理、伤口的护理、康复功能锻炼指导及出院护理,术后均经过1~2年的随访,32例中26例为优,占81%,5例为良,占16%,1例因患者术后怕痛拒绝进行功能锻炼致步态无明显改善,屈髋约100°,并膝下蹲及交腿试验均阳性,为差,占3%。结论积极做好术前准备,术后精心的护理及有效康复锻炼指导是手术成功和改善患者生活质量的关键。Objective To explore s safe and effective nursing for gluteal muscle contrature.Methods The clinical data of 32 patients with gluteal muscle contracture were retrospectively discussed.The therapeutic outcomes were assessed in accordance with certain criteria and nursing effect was evaluated.Results All patients received preoperative micturition nursing,preoperative routine nursing,postoperative body position nursing,wound nursing,rehabilitation of functional exercise guide and discharge nursing.After the follow-up of 1-2 years,26 out of 32 patients（81%） had optimal recovery,5 patients（16%） had good recovery,and 1 patient had no obvious improvement because the patient was afraid of pain and refused to take functional exercise.Hip flexor was about 100°.Squatting and crossed leg test were positive,which accounted for 3%（poor）.Conclusion Meticulous perioperative preparation,careful postoperative preparation and effective guidance of rehabilitation exercise are key to a successful surgery and better life quality of patients.

关 键 词：臀肌挛缩 护理 指导 

分 类 号：R473.6[医药卫生—护理学]