本文關(guān)鍵詞：熱奄包聯(lián)合溫和灸對髖關(guān)節(jié)置換術(shù)后患者早期康復(fù)護(hù)理效果分析　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 熱奄包 溫和灸 髖關(guān)節(jié)置換術(shù) 早期康復(fù)護(hù)理 護(hù)理效果

【摘要】：目的本研究依據(jù)臨床實(shí)際需要和患者情況,將中醫(yī)護(hù)理技術(shù)熱奄包和溫和灸引入髖關(guān)節(jié)置換術(shù)后患者早期康復(fù)護(hù)理內(nèi)容中,旨在探討分析熱奄包聯(lián)合溫和灸對髖關(guān)節(jié)置換術(shù)后髖關(guān)節(jié)功能以及肢體腫脹和疼痛程度的影響,明確二者對髖關(guān)節(jié)置換術(shù)后患者早期康復(fù)護(hù)理的效果,促進(jìn)其臨床癥狀的改善和術(shù)后康復(fù)進(jìn)程。方法采用便利抽樣法,選擇齊齊哈爾某三級甲等醫(yī)院骨科住院部符合納入標(biāo)準(zhǔn)的患者120例為研究對象,對患者入院順序編號后依據(jù)隨機(jī)數(shù)字表將患者分為4組,為保證組間均衡性,調(diào)整為每組30例。對照組患者接受科室髖關(guān)節(jié)置換術(shù)后常規(guī)的治療和護(hù)理干預(yù);試驗(yàn)組1在對照組干預(yù)措施的基礎(chǔ)上,接受術(shù)后中藥熱奄包干預(yù);試驗(yàn)組2在對照組干預(yù)措施的基礎(chǔ)上接受溫和灸干預(yù);試驗(yàn)組3在對照組干預(yù)措施的基礎(chǔ)上接受熱奄包聯(lián)合溫和灸干預(yù)。研究結(jié)果指標(biāo)采用Harris髖關(guān)節(jié)功能評分表、肢體腫脹以及VAS疼痛程度評分等指標(biāo)進(jìn)行統(tǒng)計,數(shù)據(jù)經(jīng)記錄收集、雙人核對后,統(tǒng)一錄入SPSS19.0統(tǒng)計學(xué)軟件進(jìn)行分析和處理。結(jié)果1經(jīng)不同措施干預(yù)后,四組髖關(guān)節(jié)置換術(shù)后患者關(guān)節(jié)功能評分均得到改善。差異具有統(tǒng)計學(xué)意義(P0.05);多重比較發(fā)現(xiàn),試驗(yàn)組3效果明顯優(yōu)于對照組(P0.05),試驗(yàn)組3與試驗(yàn)組1、試驗(yàn)組3與試驗(yàn)組2間得分差異均具有統(tǒng)計學(xué)意義(P0.05)。2經(jīng)不同措施干預(yù)后,四組髖關(guān)節(jié)置換術(shù)后患者關(guān)節(jié)肢體腫脹程度均得到改善,差異具有統(tǒng)計學(xué)意義(P0.05);多重比較結(jié)果表明試驗(yàn)組3效果明顯優(yōu)于對照組(P0.05)。3經(jīng)不同措施干預(yù)后,四組髖關(guān)節(jié)置換術(shù)后患者疼痛程度均得到改善,差異具有統(tǒng)計學(xué)意義(P0.05);多重比較結(jié)果表明試驗(yàn)組3效果明顯優(yōu)于對照組(P0.05)。結(jié)論1熱奄包聯(lián)合溫和灸通過溫?zé)嵝?yīng)以及經(jīng)絡(luò)腧穴等效應(yīng)機(jī)制可以有效的提升髖關(guān)節(jié)置換術(shù)患者術(shù)后髖關(guān)節(jié)功能。2熱奄包聯(lián)合溫和灸對髖關(guān)節(jié)置換術(shù)后患者肢體腫脹和疼痛程度的改善均有較好的效果,有助于促進(jìn)康復(fù)護(hù)理效果的提高,值得在臨床中進(jìn)一步的推廣和應(yīng)用。
[Abstract]:Objective according to the actual clinical needs and patients' situation, this study introduced the hot election bag and mild moxibustion of traditional Chinese medicine into the early rehabilitation nursing content of the patients after hip arthroplasty. The purpose of this study was to analyze the effect of hot election bag combined with mild moxibustion on hip joint function, limb swelling and pain after hip replacement, and to determine the effect of both methods on early rehabilitation and nursing care of patients after hip arthroplasty. Methods 120 patients in the orthopedic department of Grade 3A Hospital in Qiqihar were selected as the subjects of the study. The patients were divided into 4 groups according to the random number table. In order to ensure the balance between the groups, the patients in each group were adjusted to 30 cases. The patients in the control group received routine treatment and nursing intervention after department hip arthroplasty. Experimental group 1, on the basis of the intervention measures in the control group, received the intervention of traditional Chinese medicine hot election package after operation; The experimental group 2 received mild moxibustion intervention on the basis of the intervention measures in the control group. The experimental group 3 received heat election package combined with mild moxibustion intervention on the basis of the intervention measures in the control group. The results of the study were based on Harris hip function score table. Limb swelling and VAS pain score were counted, and the data were collected and checked by double check. Results 1 after intervention with different measures. The scores of hip joint function were improved in all the four groups after hip arthroplasty, and the difference was statistically significant (P 0.05). It was found that the effect of test group 3 was significantly better than that of control group (P 0.05), and that of test group 3 and test group 1. There were significant differences in scores between test group 3 and test group (P 0.05). After intervention with different measures, the degree of joint limb swelling was improved after hip arthroplasty in the four groups. The difference was statistically significant (P 0.05). The results of multiple comparison showed that the effect of trial group 3 was significantly better than that of control group (P 0.05). After intervention with different measures, the pain degree of the four groups of hip arthroplasty patients were improved. The difference was statistically significant (P 0.05). The results of multiple comparison showed that the effect of experimental group 3 was better than that of control group (P0.05). Conclusion 1 the mechanism of warm heat effect and acupoints of meridian and meridian can effectively improve the function of hip joint in patients with hip arthroplasty. 2. 2 hot election bag combined with mild moxibustion after hip arthroplasty. The improvement of the degree of swelling and pain was better. It is helpful to improve the effect of rehabilitation nursing and is worthy of further promotion and application in clinical practice.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R248.2

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