早期离床活动对减少人工全髋关节置换术后并发症的效果  

The effect of early ambulation activity on complications after Total Hip Arthroplasty

作　　者：郭淑娟[1] 王春秀[2] 蔡颂娟 郑丹[3] 冯芳[3] 覃芹丹 李芬[1] 杨翠容[3] 

机构地区：[1]湖北省天门市第一人民医院护理部,湖北省431700 [2]湖北省天门市第一人民医院院办,湖北省431700 [3]湖北省天门市第一人民医院骨科,湖北省431700

出　　处：《中国护理管理》2018年第2期272-277,共6页Chinese Nursing Management

基　　金：湖北省临床护理重点专科项目(鄂卫通[2013]81号)

摘　　要：目的 :分析早期离床活动对人工全髋关节置换术后并发症的防范效果。方法 :成立多学科小组,对择期人工全髋关节置换手术患者实施术后1天离床活动与训练,比较术后并发症和髋关节功能恢复情况。结果:实施早期离床活动后,观察组术后下肢深静脉血栓形成(DVT)、便秘、假体脱位的发生例数均少于对照组,DVT、便秘的发生例数差异有统计学意义(P<0.05),观察组髋关节功能恢复均优于对照组,术后15天、术后1月的Harris评分差异有统计学意义(P<0.05)。结论 :人工全髋关节置换术后早期离床活动,能有效减少术后并发症的发生,加速髋关节功能恢复,提高术后生活质量。Objective：To investigate the prevention effect of early-stage ambulation activity on postoperative complications of Total Hip Arthroplasty（THA）.Methods：A multi-disciplinary team was established to implement early activity one day after surgery in patients with THA.Then the postoperative complications of patients who got THA in two different periods（before and after the new intervention） were compared.Results：After implementing early-stage activity,the incidence of Deep Vein Thrombosis（DVT） of lower extremity,the occurrence of constipation and prosthesis dislocation cases in observation group were less than those in the control group,and the occurrence of DVT and constipation were statistically different（P〈0.05）.The hip joint function recovery in the observation group was better than that in the control group,Harris scores in 15 days and 1 month after operation were statistically higher in the intervention group than those in the control group（P〈0.05）.Conclusion：Implementing early-stage activity after total hip arthroplasty can effectively reduce postoperative complications,accelerate the recovery of hip joint function and improve the quality of life after surgery.

关 键 词：早期离床活动 人工全髋关节置换 术后并发症 

分 类 号：R47[医药卫生—护理学]