肺康复干预联合穴位贴及TDP灯照射防治高龄患者髋关节置换术后肺部感染的临床研究

发布时间：2018-08-29 09:18

【摘要】：目的:观察肺康复干预联合穴位贴及TDP灯照射防治高龄患者全髋关节置换术后肺部感染的临床效果。方法:选取我院骨科2012年1月至2016年8月期间进行全髋关节置换术患者50例。将其随机分为治疗组和对照组,各25例。对照组采取穴位贴联合TDP灯照射及常规护理,治疗组在此基础上采取肺康复干预治疗,比较两组患者干预治疗3个月、6个月后肺部及其他并发症的发生率。结果:治疗组治疗3个月、6个月肺部感染率分别为4.0%(1/25)及0.0%(0/25),前后比较,差异显著(χ2=16.511,P=0.0000.05)。而对照组3个月、6个月肺部感染率分别为12.0%(3/25)及8.0%(2/25),其差异显著(χ2=13.371,P=0.0010.05)。治疗3个月后,对比分析两组患者肺部感染的发生,差异具有统计学意义(χ2=12.277,P=0.0020.05)。6个月后,对比分析两组,差异显著(χ2=12.311,P=0.0020.05)。结论:对髋关节置换术后肺部感染高龄患者采用肺康复干预联合穴位贴及TDP灯照射治疗,其效果明显,可有效预防高龄患者全髋关节置换术后肺部感染的发生。
[Abstract]:Objective: to observe the clinical effect of pulmonary rehabilitation intervention combined with acupoint sticking and TDP lamp irradiation on pulmonary infection after total hip arthroplasty in elderly patients. Methods: 50 patients underwent total hip replacement from January 2012 to August 2016. They were randomly divided into treatment group and control group with 25 cases each. The patients in the control group were treated with acupoint sticking combined with TDP lamp irradiation and routine nursing. The patients in the treatment group were treated with pulmonary rehabilitation intervention. The incidence of lung and other complications were compared between the two groups after 3 months and 6 months of intervention. Results: in the treatment group, the pulmonary infection rate was 4.0% (1 / 25) and 0.0% (0 / 25) at 3 months and 6 months, respectively, and there was significant difference between the two groups (蠂 ~ (2 +), 16.511P ~ (0.0000.05). The pulmonary infection rate in the control group was 12.0% (3 / 25) and 8.0% (2 / 25) at 3 months and 6 months, respectively. After 3 months of treatment, the incidence of pulmonary infection in the two groups was compared and the difference was statistically significant (蠂 ~ 2 ~ 2 ~ (12.277) P _ (P) 0.0020.05), and six months later, the difference between the two groups was significant (蠂 ~ (2) ~ (2) ~ (12) 3 ~ (11) P ~ (1) P ~ (0.0020.05). Conclusion: lung rehabilitation intervention combined with acupoint sticking and TDP lamp irradiation is effective in preventing pulmonary infection after total hip arthroplasty in elderly patients.
【作者单位】：重庆市人民医院;
【基金】：重庆市卫计委科研项目(2015ZBXM090)
【分类号】：R473.6

【相似文献】