热奄包联合温和灸对髋关节置换术后患者早期康复护理效果分析

发布时间：2018-01-11 01:22

本文关键词：热奄包联合温和灸对髋关节置换术后患者早期康复护理效果分析　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的本研究依据临床实际需要和患者情况,将中医护理技术热奄包和温和灸引入髋关节置换术后患者早期康复护理内容中,旨在探讨分析热奄包联合温和灸对髋关节置换术后髋关节功能以及肢体肿胀和疼痛程度的影响,明确二者对髋关节置换术后患者早期康复护理的效果,促进其临床症状的改善和术后康复进程。方法采用便利抽样法,选择齐齐哈尔某三级甲等医院骨科住院部符合纳入标准的患者120例为研究对象,对患者入院顺序编号后依据随机数字表将患者分为4组,为保证组间均衡性,调整为每组30例。对照组患者接受科室髋关节置换术后常规的治疗和护理干预;试验组1在对照组干预措施的基础上,接受术后中药热奄包干预;试验组2在对照组干预措施的基础上接受温和灸干预;试验组3在对照组干预措施的基础上接受热奄包联合温和灸干预。研究结果指标采用Harris髋关节功能评分表、肢体肿胀以及VAS疼痛程度评分等指标进行统计,数据经记录收集、双人核对后,统一录入SPSS19.0统计学软件进行分析和处理。结果1经不同措施干预后,四组髋关节置换术后患者关节功能评分均得到改善。差异具有统计学意义(P0.05);多重比较发现,试验组3效果明显优于对照组(P0.05),试验组3与试验组1、试验组3与试验组2间得分差异均具有统计学意义(P0.05)。2经不同措施干预后,四组髋关节置换术后患者关节肢体肿胀程度均得到改善,差异具有统计学意义(P0.05);多重比较结果表明试验组3效果明显优于对照组(P0.05)。3经不同措施干预后,四组髋关节置换术后患者疼痛程度均得到改善,差异具有统计学意义(P0.05);多重比较结果表明试验组3效果明显优于对照组(P0.05)。结论1热奄包联合温和灸通过温热效应以及经络腧穴等效应机制可以有效的提升髋关节置换术患者术后髋关节功能。2热奄包联合温和灸对髋关节置换术后患者肢体肿胀和疼痛程度的改善均有较好的效果,有助于促进康复护理效果的提高,值得在临床中进一步的推广和应用。
[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.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R248.2

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