摘要
目的:探讨预防髋外展肌功能障碍患者髋关节置换术后脱位的康复护理。方法:将2005年1月～2006年12月存在髋关节外展肌功能障碍的髋关节置换术后行常规康复护理的32例患者作为对照组,将2007年1月～2009年12月同类病例进行评估后在术前、术后采取针对性的康复护理措施的35例患者作为实验组,观察两组患者术后脱位发生率及肌力改善情况。结果:实验组术后脱位率低于对照组,肌力改善情况明显优于对照组(P<0.05),差异有统计学意义。结论:髋关节外展肌力下降产生的髋关节肌力不平衡是髋关节置换术后脱位的重要原因之一,在术前及术后进行外展训练可以有效地提高外展肌力,预防术后脱位。
Objective：To discuss the perioperative rehabilitation procedure for abductor dysfunction patients to prevent posteroperatire dislocation after hip arthroplasty. Methods：The control group is a total of 32 patients with hip - abductor dysfunction who received conventional rehabilitation nursing from Jan 2005 to December 2006. The experimental group is a total of 35 patients with the same kind of case received targeted rehabilitation procedure perioperatively from Jan 2007 to December 2009. The rate of dislocation and the improvement of muscle force were examined after operation. Resuits：Patients in the experimental group got lower dislocation rate and stronger muscle force than those of control group （P 〈 0.05 ）. Conclusion ： The muscular imbalance of hip joint due to the weakless of abductor is one of the important factors for the dislocation after hip replacement. Perioperative abduction training is effective for enhancing abductor force and preventing postoperative dislocation.
关键词
髋关节置换术
髋关节脱位
康复护理
Hip replacement
Dislocation of hip joint
Rehabilitation
