摘要
目的探究与分析术后早期康复护理干预对小儿发育性髋关节脱位手术预后的影响。方法选取中国医科大学附属盛京医院2014年12月~2016年12月收治的90例发育性髋关节脱位手术患儿,按照随机数字表法分对照组与观察组,每组各45例。对照组仅给予常规护理,观察组给予早期康复护理干预,对比两组患儿术后疗效、并发症发生率、疼痛程度、下肢运动功能以及日常生活能力。结果观察组临床疗效优良率高于对照组,差异有统计学意义(P<0.05)。观察组与对照组相比,窒息、压疮、切口污染、呼吸道感染发生率较低,差异有统计学意义(P<0.05)。两组手术后与术前相比,两组FMA及Barthel评分均升高,VAS评分降低,且观察组改善更加显著,差异有统计学意义(P<0.05)。结论早期康复护理能使发育性髋关节脱位患儿术后获得更好的临床效果,降低并发症发生率,缓解疼痛,改善下肢功能及日常生活能力。
Objective To analyze the effects of early rehabilitation care on the prognosis of postoperative develepment dislocationg of the hip （DDH）. Methods From December 2014 to December 2016, 90 children with DDH treated by surgery in Shengjing Hospital of China Medical University were selected and divided into control group and observation group by random number table, with 45 cases in each group. After operation, the control group was treated by routine nursing, the observation group was treated by early rehabilitation nursing. The postoperative efficacy, complications and degree of pain, lower limb motor function and daily life of two groups were compared. Results The clinical curative effect of the observation group was higher than that of the control group, with statistically significant difference （P 〈 0.05）. The inci- dence rates of asphyxiation, pressure sores, incisions and respiratory infections in the observation group were lower than those in the control group, with statistically significant difference （P〈 0.05）. In two groups, the FMA and Barthel scores after operation were higher than those before operation, the VAS score after surgery was lower than that before surgery, and the change of the observation group was more evident, with statistically significant difference （P 〈 0.05）. Conclusion Early rehabilitation nursing can improve the clinical effect of postoperative children with DDH, reduce complication incidence rate, relieve pain, and improve function of lower extremity and activity of daily living.
出处
《中国医药导报》
CAS
2017年第25期152-154,158,共4页
China Medical Herald
基金
国家自然科学基金资助项目(30600654)
关键词
早期康复护理
发育性髋关节脱位
预后
Early rehabilitation nursing
Developmental dislocation of the hip
Prognosis
