综合康复干预对全髋置换后早期并发症的预防作用

背景：全髋关节置换后并发症发生率仍较高,置换后早期功能恢复能有效保证置换效果。目的：评价综合康复干预在预防全髋关节置换后早期并发症中的作用。方法：将90例全髋关节置换患者随机分为对照组和试验组,两组行全髋关节置换后均给予常规治疗、干预,其中试验组置换后给予综合康复干预,而对照组给予一般程序化康复干预。结果与结论：两组患者在置换后1,2,12和20周Harris评分差异无显著性意义（P〉0.05）;试验组置换后2,12周关节脱位、感染、下肢深静脉血栓形成的发生率及置换后12周异位骨化的发生率均显著低于对照组（P〈0.01）。提示综合康复干预可明显减少全髋关节置换后早期并发症,有效促进髋关节的功能恢复。

Preventive effect of comprehensive rehabilitation nursing on early complications of total hip arthroplasty

BACKGROUND：Although the early postoperative functional rehabilitation can effectively guarantee the results of operations,incidence rate of complications following total hip replacement is still high.OBJECTIVE：To evaluate preventive effect of comprehensive rehabilitation care of early complications of total hip arthroplasty.METHODS：Totally 90 total hip arthroplasty patients were randomly divided into control group and study groups equally.Both groups were given conventional treatment and care,of which the study group underwent comprehensive postoperative rehabilitation care.The control group received general procedure of rehabilitation care.RESULTS AND CONCLUSION：There was no difference in postoperative Harris score at 1,2,12 and 20 weeks after surgery between study group and control group（P 0.05）.Compared with control group,the incidence of joint dislocation,infection,deep vein thrombosis of study group post-surgery 2 and 12 weeks,and the heterotopic ossification at 12 weeks after surgery were significantly lower（P 0.01）.These suggest that comprehensive rehabilitation care significantly reduces early complications of total hip replacement surgery,and effectively promotes the functional recovery of hip joint.