黄金华

【摘要】 目的：观察全面护理对全髋关节置换术患者的生活质量及术后并发症的影响。方法：选取2012年1月-2014年1月来本院行全髋关节置换术的80例患者，按照随机数字表法分为研究组和对照组，每组40例。对照组接受常规护理，研究组接受全面护理。比较两组髋关节Harris评分、SF-8量表得分、并发症发生率情况。结果：研究组术后7、30 d的Harris评分均明显优于对照组（P<0.05）；SF-8量表中PF、RP、BP、GH、VT、SF、RE、MH等各因子评分均明显优于对照组（P<0.05）；研究组并发症发生率7.5%，对照组并发症发生率25.0%，两组比较差异有统计学意义（P<0.05）。结论：全面护理可以有效提升全髋关节置换术患者的生活质量，并加快患者术后的康复时间，降低患者无法下地活动可能引发的并发症，值得临床推广应用。

【关键词】 全面护理； 全髋关节置换术； 生活质量； 疗效； 并发症

Effect of Comprehensive Nursing on Quality of Life and Postoperative Complications in Patients Undergoing Total Hip Arthroplasty/HUANG Jin-hua.//Medical Innovation of China，2017，14（26）：082-085

【Abstract】 Objective：To observe the effect of comprehensive nursing on quality of life and postoperative complications in patients undergoing total hip arthroplasty.Method：From January 2012 to January 2014，80 cases of total hip replacement in our hospital were selected and divided into the control group and the observation group according to random number table method，40 cases in each group.The control group was given routine care，the observation group was given comprehensive nursing.The hip Harris score，SF-8 score and complication rate of two groups were compared.Result：Harris scores of the study group at postoperative 7，30 d were significantly better than those of the control group（P<0.05）.PF，RP，BP，GH，VT，SF，RE，MH scores of SF-8 scale factors of the study group were significantly better than those of the control group（P<0.05）；the incidence of complications of the study group was 7.5%，the control group was 25.0%，the difference had statistical significance（P<0.05）.Conclusion：Comprehensive nursing care can effectively improve the quality of life of the patients with total hip arthroplasty，speed up the recovery time after surgery，reduce the complications that inability to activity of the patients may lead to，it is worthy of clinical application.

【Key words】 Total care； Total hip arthroplasty； Quality of life； Curative effect； Complication

First-authors address：Pingxiang Second Peoples Hospital，Pingxiang 337000，China

doi：10.3969/j.issn.1674-4985.2017.26.021

隨着我国人口老龄化现象的日益凸显，老年患者股骨颈骨折的临床住院率也呈逐年递增的态势[1-2]。有鉴于老年患者股骨颈的特殊性，其术后髋部功能恢复周期漫长，并且易发生骨折处愈合不佳或是关节僵硬等不良现象，给患者造成极大的精神压力，对患者生活质量产生不利影响。而且，患者长期的卧床也会引发心脑血管疾病、血栓性静脉炎泌尿系统感染等并发症。故而，有必要通过有效护理来控制和推动患者愈合髋部功能的恢复，这对预防并发症的发生和提高患者的生活质量有着重要的现实意义。本文探讨全面护理对全髋关节置换术患者的生活质量及术后并发症的影响，现报道如下。

1 资料与方法

1.1 一般资料 选取2012年1月-2014年1月来本院行全髋关节置换术的80例患者，行TER 23例、半髋置换14例、髓外固定15例、PFN内固定28例，入院前均存在外伤史或跌、撞、摔伤病史；髋关节疼痛、肿胀、叩击震痛、畸形，患者均经影像学确诊为股骨颈骨折。按照随机数字表法将其分为研究组和对照组，每组40例。……