《人工髋关节置换术围手术期康复护理论文》-毕业论文设计（学术）.docVIP

PAGE - - 四川大学网络教育学院 HYPERLINK / 本科生(业余)毕业论文（设计） 题 目 人工髋关节置换术围手术期 康复护理 办学学院 四川大学网络教育学院 教学部（校内/校外） 自贡学习中心 专 业 护 理 年 级 07 春 指导教师 宁 宁 学生姓名 刘 玉 英 学 号 DL107120021 2009年 4 月 13 日 人工髋关节置换术围手术期康复护理 学生：刘玉英 指导教师：宁 宁 摘 要 目的：通过对我院人工髋关节置换术围手术期患者进行系统的康复训练，观察人工髋关节置换术围手术期康复训练护理效果。 资料和方法：对四川省自贡市第三人民医院骨科2003年3月～2008年8月诊疗采用人工髋关节置换术后的78例患者进行了围手术期系统的康复训练指导。 结果： 78例病例经术后6～24 个月(平均 12.6 月)随访，Harris 评分表明术后髋关节功能恢复良好，至术后12个月髋关节功能基本恢复正常（术后12个月Harris评分65～91分，平均87.11分。80分以上的55例,优良率70.5%）。髋关节活动度屈曲100～120°，伸直10～15°，内收30～40°，外展40～45°，内旋40～50°，外旋40～45°。肌力５级，生活均能自理。 结论：人工髋关节置换术围手术期系统的康复训练措施行之有效，能有效地缓解疼痛、促进人工髋关节置换术后患肢关节功能的早日康复，提高患者生活质量。 关键词: 人工髋关节置换 康复训练 护理 The perioperative rehabilitation care of Total hip arthroplasty Student: Yuying Liu Supervisor: Ning Ning Abstracts Objective To explore the effect of rehabilitated exercise during the perioperative management for total hip arthroplasty (THA) on systematic rehabilitated exercise given to patients who received the THA operation in our hospital. Methods In view of the nursing procedure, the guide of perioperative systematic rehabilitated exercise were performed in 78 cases with THA in Orthopedics of Zigong third people’s hospital from March 2003 to August 2008. Results Through six to twenty-four months follow-up (the mean follow-up period was 12.6 months), The result of Harris evaluation indicated the 78 cases patients of THA obtained good function recovery of the hip joint after operation and restored their function within 12 months ( The result of Harris evaluation was 65~91 scores. Average 87.11 scores. There are 55 patients postoperative outcomes were satisfactory, the HHS is more than 80 scores. excellent and good rate were 70.5%). The activity of hip joint: flexion 100~120°, extension 10~15°, adduction 30~40°, abduction 40~45°, adtorsion 40~50