摘要
目的:研究临床中医护理路径在髋关节置换术患者护理中的应用价值。方法:将100例患者随机分为观察组和对照组,每组50例。对照组采用常规护理,观察组采用临床中医护理路经。比较2组优良率、髋关节功能评分(Harris)、康复指标及并发症发生情况。结果:优良率观察组为90.00%(45/50),对照组为78.00%(39/50),2组比较差异有统计学意义(P<0.05);并发症发生率观察组为8.00%(4/50),对照组为18.00%(9/50),2组比较差异有统计学意义(P<0.05);术后6个月时髋关节功能、疼痛、活动范围以及畸形等Harris评分观察组均明显高于对照组,2组比较差异有统计学意义(P<0.05);骨折愈合时间、肉芽组织生长时间、住院时间、感染控制时间和创面封闭时间观察组均显著短于对照组,2组比较差异有统计学意义(P<0.05)。结论:临床中医护理路径在髋关节置换术患者护理中具有较高的应用价值,可改善患者的髋关节功能,减少股骨头坏死、髋内翻等并发症的发生。
Objective:To study the application value of clinical TCM nursing pathway to the care for the patients with hip replacement.Methods:A total of 100 patients were randomly allocated to two groups,50 cases each group.The control group adopted conventional care,and the observation group clinical TCM nursing pathway.To compare excellent rates,Harris scores,recovery indexes and complication incidence between both groups.Results:The excellent rate of the observation group was 90.00%(45/50),higher than 78.00%(39/50)of the control group,and the difference had statistical meaning(P<0.05).Complication incidence of the observation group was8.00%(4/50),lower than 18.00%(9/50)of the control group,the difference was statistically significant(P<0.05).The observation group was obviously higher than the control group in Harris scores including function,pain and sphere of activity,deformity and others six months after the operation remarkably,and there was a significant difference(P<0.05).The observation group was remarkably lower than the control group in bone fracture healing time,growth time of granulation tissue,hospitalization time,infection control time and wound surface sealing time,and the difference had statistical meaning(P<0.05).Conclusion:Clinical TCM nursing pathway possesses higher application value in the care for the patients with hip replacement,it could improve hip joint function after the surgery,and lower the incidence of the complications including femoral head necrosis,coxa vara and others.
作者
闫云
成丽
代英华
栗宝凤
刘娜
刘萍
YAN Yun;CHENG Li;DAI Yinghua;LI Baofeng;LIU Na;LIU Ping(Honghui Hospital,Xi'an 710054,China)
出处
《西部中医药》
2019年第12期125-127,共3页
Western Journal of Traditional Chinese Medicine
