弹力带抗阻运动联合家属协同护理预防髋关节置换术后患者下肢深静脉血栓的效果OA
The Effect of Elastic Band Resistance Exercise Combined with Family Cooperative Nursing on Preventing Deep Vein Thrombosis in Lower Limbs of Patients after Hip Replacement Surgery
目的:研究弹力带抗阻运动联合家属协同护理预防髋关节置换术后患者下肢深静脉血栓的效果.方法:选取武汉中西医结合骨科医院 2022 年 10 月—2024 年 10 月收治的 108 例髋关节置换术后患者为研究对象,依照区组随机化分组法分为对照组(n=54)和协同组(n=54).对照组实施常规术后护理,协同组实施弹力带抗阻运动联合家属协同护理.比较两组术后恢复情况(下床活动时间、术后相关并发症、住院时间),观察干预期间两组下肢深静脉血栓预防效果,对比干预前、干预 3 个月后两组髋关节功能[Harris髋关节功能评分(HHS)]及髋关节活动度.结果:协同组下床活动时间早于对照组,住院时间短于对照组(P<0.05),两组术后相关并发症发生率对比差异无统计学意义(P>0.05).干预 1、2 周,协同组下肢深静脉血栓发生率低于对照组(P<0.05),干预 1、3 个月,两组下肢深静脉血栓发生率比较差异无统计学意义(P>0.05).干预 3 个月后,两组HHS各维度评分、总分及髋关节屈曲、内收、内旋活动度较干预前均有升高,且协同组高于对照组(P<0.05).结论:弹力带抗阻运动联合家属协同护理不仅能加快髋关节置换术患者术后恢复,还能预防下肢深静脉血栓的发生,对改善髋关节功能、髋关节活动度效果明显.
Objective:To study the effect of elastic band resistance exercise combined with family cooperative nursing on preventing deep vein thrombosis in lower limbs of patients after hip replacement surgery. Method:A total of 108 patients who underwent hip replacement surgery at Wuhan Orthopedic Hospital of Integrated Traditional Chinese and Western Medicine from October 2022 to October 2024 were selected as the study subjects.They were randomly divided into a control group(n=54)and a collaborative group(n=54)according to the block randomization method.The control group received routine postoperative nursing,while the collaborative group received elastic band resistance exercise combined with family cooperative nursing.The postoperative recovery status(the time to get out of bed and move around,postoperative complications,hospital stay)of two groups were compared,the preventive effect of deep vein thrombosis in the lower limbs during the intervention period was observed,and hip function[Harris hip score(HHS)]and hip joint range of motion before and after 3 months of intervention were compared.Result:The time to get out of bed in collaborative group was earlier than that of the control group,hospitalization time of the collaborative group was shorter than that of the control group(P<0.05),and there was no statistically significant difference in the incidence of postoperative complications between the two groups(P>0.05).Within 1 week and 2 weeks of intervention,the incidences of deep vein thrombosis in the lower limbs of the collaborative group were lower than those of the control group(P<0.05).After 1 month and 3 months of intervention,there were no statistically significant differences in the incidences of deep vein thrombosis in the lower limbs between the two groups(P>0.05).After 3 months of intervention,the scores of each dimension and total scores of the HHS,hip flexion,adduction,and internal rotation range of motion in both groups increased compared to before intervention,and those in the collaborative group were higher than those in the control group(P<0.05).Conclusion:The combination of elastic band resistance exercise and family cooperative nursing can not only accelerate postoperative recovery in patients undergoing hip replacement surgery,but also prevent the occurrence of deep vein thrombosis in the lower limbs.It has a significant effect on improving hip joint function and hip joint range of motion.
张寒;许文卉;陈红
武汉中西医结合骨科医院(武汉体育学院附属医院)骨关节科及运动医学科 湖北 武汉 430000深圳市第二人民医院骨关节骨肿瘤科 广东 深圳 518000华中科技大学同济医学院附属协和医院外科 湖北 武汉 430000
弹力带抗阻运动家属协同护理髋关节置换术下肢深静脉血栓
Elastic band resistance exerciseFamily cooperative nursingHip replacement surgeryDeep vein thrombosis in the lower limbs
《中国医学创新》 2026 (9)
77-82,6
湖北省卫生健康委科研项目(WJ2019M167)
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