饶威

[摘要] 目的 探讨间歇性气压治疗对全髋关节置换患者术后早期康复的促进作用。方法 方便选取佛山市中医院在2016年7月—2017年7月收治的136例全髋关节置换术患者随机分为两组（各68例），对照组术后进行常规的早期康复治疗，观察组增加间歇性气压治疗，比较两组患者治疗前后的下肢周径、深静脉血栓形成情况、疼痛程度等。结果观察组术后第3天的VAS评分为（3.70±0.80）分，显著低于对照组的（5.77±0.71）分（P<0.05）。观察组的DVT发生率为2.94%，显著低于对照组的11.76%（P<0.05）。 结论 全髋关节置换术后早期进行间歇性气压治疗，能够有效减轻患肢的疼痛程度，预防下肢深静脉血栓形成，加快康复进程。

[关键词] 全髋关节置换术；早期康复；间歇性气压治疗；深静脉血栓

[中图分类号] R687 [文献标识码] A [文章编号] 1674-0742（2018）01（a）-0083-03

The Role of Intermittent Pneumatic Therapy in Early Rehabilitation after Total Hip Arthroplasty

RAO Wei

Department of Orthopedics， Section Nine， Foshan Hospital of TCM， Foshan， Guangdong Province， 528000 China

[Abstract] Objective This paper tries to explore the effect of intermittent pneumatic therapy on early postoperative rehabilitation in patients with total hip arthroplasty. Methods 136 cases of total hip arthroplasty in Foshan Hospital of Traditional Chinese Medicine from July 2016 to July 2017 were convenient selected and randomly divided into two groups （each of 68 cases）. The control group received conventional early rehabilitation after operation， and the observation group increased intermittent barotrauma treatment， comparison of the two groups of patients before and after treatment of lower limb circumference， deep venous thrombosis， pain and so on. Results The VAS score of the observation group was （3.70±0.80）points on the third day after surgery， which was significantly lower than that of the control group （5.77±0.71）points（P<0.05）. The incidence of DVT in the observation group was 2.94%， which was significantly lower than that in the control group of 11.76%（P<0.05）. Conclusion Intermittent pneumatic treatment after total hip arthroplasty can effectively reduce the pain of the limb， prevent the deep vein thrombosis of the lower limbs， and speed up the rehabilitation process.

[Key words] Total hip arthroplasty； Early rehabilitation； Intermittent pneumatic therapy； Deep vein thrombosis

全髖关节置换术作为一项大型手术，会对机体造成严重刺激，再加上术后制动等因素，患者在术后极易形成深静脉血栓，特别是年龄较大的患者，术后长期卧床更会增加下肢深静脉血栓（DVT）的形成风险[1]。该院为减少全髋关节置换术后下肢深静脉血栓的形成，对2016年7月—2017年7月收治的68例全髋关节置换术患者进行了间歇性气压治疗（IPC）并取得了较为满意的效果，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的136例行全髋关节置换术的患者作为研究对象。入组患者术后的生命体征稳定，未合并严重心脏或肺部疾病，术后无感染、骨折、髋关节周围肌肉瘫痪及周围神经感觉障碍。使用随机数字表法分为两组（各68例）：对照组男32例，女36例，年龄68～83岁，平均年龄（73.41±10.20）岁，股骨颈骨折8例、股骨头坏死40例、髋关节炎20例；观察组男36例，女32例，年龄70～82岁，平均年龄（74.05±9.63）岁，股骨颈骨折12例、股骨头坏死38例、髋关节炎18例。……