可卸式充气垫穴位按摩丁字鞋在THA术后的临床应用价值  

Clinical application value of T-shaped shoes for acupoint massage with removable and inflatable pads after THA

作　　者：车小乔[1] 彭志华[2] 唐刚健[1] 曾伟清[1] 袁振中 邓章荣 文芳[1] CHE Xiaoqiao;PENG Zhihua;TANG Gangjian;ZENG Weiqing;YUAN Zhenzhong;DENG Zhangrong;WEN Fang(The First Department of Orthopaedics,Guilin Traditional Chinese Medicine Hospital,Guangxi Zhuang Autonomous Region,Guilin 541002,China;Department of Nursing,Guilin Traditional Chinese Medicine Hospital,Guangxi Zhuang Autonomous Region,Guilin 541002,China)

机构地区：[1]广西壮族自治区桂林市中医医院骨一科,广西桂林541002 [2]广西壮族自治区桂林市中医医院护理部,广西桂林541002

出　　处：《中国医药导报》2021年第1期176-179,共4页China Medical Herald

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z2016009);国家实用型专利(ZL201720131565.2)。

摘　　要：目的分析可卸式充气垫穴位按摩丁字鞋在人工全髋关节置换(THA)术后的临床应用价值。方法选取2017年1月—2018年12月广西壮族自治区桂林市中医医院骨科收治的行THA患者150例,依据随机数字表法将其分成传统组与干预组,每组75例。传统组自愿接受传统丁字鞋护理,干预组自愿接受可卸式充气垫穴位按摩丁字鞋护理。比较两组临床疗效、防旋效果、疼痛情况、舒适度及并发症发生情况。结果干预组总有效率高于传统组,差异有统计学意义(P<0.05)。干预组假体脱位率低于传统组,差异有统计学意义(P<0.05)。干预组患者视觉模拟评分低于传统组,Kolcaba评分高于传统组,差异有高度统计学意义(P<0.01)。干预组并发症总发生率低于传统组,差异有高度统计学意义(P<0.01)。结论可卸式充气垫穴位按摩丁字鞋能明显提高THA术后患肢舒适性,减少术后疼痛,降低THA术后假体脱位率,减少术后并发症,建议临床使用。Objective To analyze the clinical application value of T-shaped shoes for acupoint massage with removable and inflatable pads after total hip arthroplasty(THA).Methods From January 2017 to December 2018,150 patients with THA in Department of Orthopaedics,Guilin Traditional Chinese Medicine Hospital were selected.They were divided into traditional group and intervention group according to the random number table method,with 75 cases in each group.Traditional group voluntarily received care with traditional T-shaped,and intervention group voluntarily received care with T-shaped shoes for acupoint massage with removable and inflatable pads.The clinical effect,anti-rotation effect,pain,comfort degree and complications between two groups were compared.Results The total effective rate of intervention group was higher than that of traditional group,and the difference was statistically significant(P<0.05).The dislocation rate of prosthesis in intervention group was lower than that in traditional group,and the difference was statistically significant(P<0.05).The visual analogue scale score of intervention group was lower than that of traditional group;and Kolcaba score was higher than that of traditional group,and the differences were highly statistically significant(P<0.01).The total complications rate of intervention group was lower than that of traditional group,and the difference was highly statistically significant(P<0.01).Conclusion T-shaped shoes for acupoint massage with removable and inflatable pads can significantly improve the comfort after THA,reduce pain and fracture healing time,and improve the clinical effect and anti-rotation effect.Clinical use is recommended.

关 键 词：可卸式充气垫穴位按摩丁字鞋 全髋关节置换 防旋效果 疼痛 舒适度 

分 类 号：R472[医药卫生—护理学]