基于信息平台联合运动处方在全髋关节置换日间手术患者中的应用效果  

Application effect of information platform combined with exercise prescription in day surgery patients undergoing total hip arthroplasty

作　　者：谌艳[1] 刘雪梅 钱晟宇 刘海龙[1] 江伟[1] 王志聪 王代军[3] CHEN Yan;LIU Xuemei;QIAN Shengyu;LIU Hailong;JIANG Wei;WANG Zhicong;WANG Daijun(Department of Orthopedics,Deyang People's Hospital,Sichuan Province,Deyang 618000,China;Department of Rehabilitation Medicine,Deyang People's Hospital,Sichuan Province,Deyang 618000,China;Department of Medical Engineering and Informatics,Deyang People's Hospital,Sichuan Province,Deyang 618000,China)

机构地区：[1]四川省德阳市人民医院骨科,四川德阳618000 [2]四川省德阳市人民医院康复医学科,四川德阳618000 [3]四川省德阳市人民医院医工信息科,四川德阳618000

出　　处：《中国当代医药》2025年第11期161-165,共5页China Modern Medicine

基　　金：四川省医学会骨科(尚安通)专项科研课题(2023SAT31);四川省老年学学会课题(24SCLN0105);四川省德阳市科学技术局德阳市社会发展领域重点研发指导类项目(2023SZZ014);中国高校产学研创新基金一华通国康医学科研专项课题(2023HT068)。

摘　　要：目的研究信息平台联合运动处方在全髋关节置换(THA)日间手术患者中的应用效果。方法选取2023年2月至2024年2月德阳市人民医院收治的86例THA日间手术患者作为研究对象,采用便利抽样法将2023年2月至8月入院患者作为对照组(43例),2023年9月至2024年2月入院患者作为试验组(43例)。试验组采用信息平台联合运动处方模式,对照组采用常规护理管理。比较两组患者术前及术后7 d、1个月髋关节功能(Harris)评分,术后第1次下床时间、术后并发症发生率、再入院发生率及患者满意度。结果试验组第1次下床时间早于对照组,术后7天及术后1个月Harris评分、满意度评分高于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率及再入院率比较,差异无统计学意义(P>0.05)。结论基于信息平台联合运动处方在THA日间手术患者中的应用可改善髋关节活动度和生活质量,降低并发症发生率,减少医疗成本。同时,通过信息平台的构建和运动处方的提前介入,可以更好地实现患者全病程管理,对THA患者的康复具有积极意义。Objective To investigate the application effect of information platform combined with exercise prescription in day surgery patients undergoing total hip arthroplasty(THA).Methods A total of 86 patients undergoing total hip arthroplasty day surgery admitted to Deyang People's Hospital from February 2023 to February 2024 were selected as the study objects.Patients admitted from February to August 2023 were selected as the control group(43 cases),and patients admitted from September 2023 to February 2024 were selected as the experimental group(43 cases)by convenience sampling method.The experimental group received the information platform combined with exercise prescription model,whereas the control group received routine nursing management.The Harris hip scores before surgery and at 7 days and 1 month after surgery,time to first ambulation postoperatively,incidence of postoperative complications,readmission rate,and patient satisfaction survey were compared between the two groups.Results The experimental group showed significantly earlier time to first ambulation compared to the control group.The Harris hip scores at 7 days and 1 month postoperatively and the satisfaction scores in experimental group were higher than those in control group,with statistical significances(P<0.05).There were no statistically significant difference in the incidence of postoperative complications and readmission rates between the two groups(P>0.05).Conclusion The application of information platform combined with exercise prescription in day surgery patients undergoing THA can improve hip joint mobility and quality of life,while reducing complication rates and healthcare costs.Furthermore,through the establishment of the information platform and early intervention with exercise prescriptions,it enables better implementation of whole-course patient management,demonstrating positive signi-ficance for the rehabilitation of THA patients.

关 键 词：信息系统 运动处方 髋关节置换 日间手术 

分 类 号：R681[医药卫生—骨科学]