应用全膝关节置换术结合中西医结合护理治疗晚期膝关节骨关节炎75例的疗效观察
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- 论文作者：王新 ; 贾红荣 ; 钱博 ; 魏峰 ; 马小芳 ; 何玲
- 年：2016
- 作者机构：北京中医药大学东直门医院;
- 论文关键词：膝关节骨关节炎 ; 全膝关节置换 ; 影响因素 ; 术后护理 ; 中西医结合
- 英文论文关键词：Knee osteoarthritis ; Total knee arthroplasty(TKA) ; Influencial factor ; nursing observation after operation ; Integrated Chinese and Western Medicine
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R473.6
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：3
- 文件大小：2097k
- 原文格式：D
- 会议级别：全国
摘要
目的为了解除晚期膝关节骨关节炎患者的膝关节疼痛,恢复膝关节功能,临床多使用全膝关节置换术进行治疗。本文探讨全膝关节置换术后疗效及中西医结合护理相关因素对疗效的影响。方法采用HSS评分系统对75例,对全膝关节置换手术的患者行术前、术后评分。结果通过对75例患者0.5个月~1.5个月的随访和统计分析示:术后HSS等各要素评分均较术前有明显提高,有统计学意义(P<0.05)。结论全膝关节置换术是治疗重症膝关节炎的理想、有效的手术方法 ;术后中西医结合护理及术后的康复训练对术后疗效有显著的影响。
Objective In order to remove the severe knee osteoarthritis in patients with knee pain,restore knee function,clinical doctors usually use the total knee arthroplasty treatment. Toinvestigate the curative effects after total knee arthroplasty(TKA) and the influencing factors of correlation in the article. Methods Preoperative and postoperative scoring of 75 cases were evaluatedaccording to the HSS scoring system after TKA. Results All the 75 cases were followed up for 1.5 months(ranged, 0.5to 1.5 months).The scores ofeach element in HSS after operation were moresignificantly improved than before operation(P<0.05) Conclusion TKA is an effective and desirable treatment method for the severe gonarthritis. The nursing of integrated TCM and Western Medicineand postoperative rehabilitation have significant influence on therapeutic effect after TKA.
Objective In order to remove the severe knee osteoarthritis in patients with knee pain,restore knee function,clinical doctors usually use the total knee arthroplasty treatment. Toinvestigate the curative effects after total knee arthroplasty(TKA) and the influencing factors of correlation in the article. Methods Preoperative and postoperative scoring of 75 cases were evaluatedaccording to the HSS scoring system after TKA. Results All the 75 cases were followed up for 1.5 months(ranged, 0.5to 1.5 months).The scores ofeach element in HSS after operation were moresignificantly improved than before operation(P<0.05) Conclusion TKA is an effective and desirable treatment method for the severe gonarthritis. The nursing of integrated TCM and Western Medicineand postoperative rehabilitation have significant influence on therapeutic effect after TKA.
引文
[1]Insall JN,Dorr LD,Scott RD,et al.Rational of the knee.society[J].clinicalratingsystem.Clin Orthop,1989,248:13-14.
[2]吕厚山.人工关节外科学[M].北京:科学出版社,2001.55-59.
[3]王慰年.人工膝关节-理论基础与临床应用[M].复旦大学出版社,2004.120-121.
[4]梅迎雪,张海娇,陈立凤,等.21例膝关节高度屈曲挛缩畸形人工关节置换术的康复护理[J].中华护理杂志,2010,45(6):517-519.
[5]杨碧虹,陈巧莉,任少君,等.持续冷冻压迫疗法在人工膝关节置换术后的应用[J].护理与康复,2009,8(9):752-753.
[6]林小武.中药熏洗配合改良浮针疗法治疗膝关节骨性关节炎的探讨[J].中国医药导报,2009,6(4):67-68.
[7]庄玲玲,林华阳,汪琤,等.中西医结合镇痛护理干预在全膝关节置换术围手术期中的应用[J].福建中医药,2012,43(4):59-60.
[8]徐艳芳.全膝关节置换术的护理及康复训练[J].中国现代药物应用,2009,3(10):171-172.
[9]中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南[J].中华骨科杂志,2009,29(6):602-604
[10]Miyasaka KC,Ranawat CS,Mullaji A.10-to 20-year follow-up of total knee arthroplasty for valgus deformities[J].Clin Orthop Relat Res,1997,345:29-37.
[11]肖瑜,张福江,于建华等。全膝关节置换术中胫骨假体旋转对线新技术[J].中国修复重建外科杂志,2008,22(1):26-28.
[12]王晓庆,常彦青,梁春萍,等.老年人工膝关节置换术123例康复护理[J].齐鲁护理杂志,2010,16(20):17-18.
[2]吕厚山.人工关节外科学[M].北京:科学出版社,2001.55-59.
[3]王慰年.人工膝关节-理论基础与临床应用[M].复旦大学出版社,2004.120-121.
[4]梅迎雪,张海娇,陈立凤,等.21例膝关节高度屈曲挛缩畸形人工关节置换术的康复护理[J].中华护理杂志,2010,45(6):517-519.
[5]杨碧虹,陈巧莉,任少君,等.持续冷冻压迫疗法在人工膝关节置换术后的应用[J].护理与康复,2009,8(9):752-753.
[6]林小武.中药熏洗配合改良浮针疗法治疗膝关节骨性关节炎的探讨[J].中国医药导报,2009,6(4):67-68.
[7]庄玲玲,林华阳,汪琤,等.中西医结合镇痛护理干预在全膝关节置换术围手术期中的应用[J].福建中医药,2012,43(4):59-60.
[8]徐艳芳.全膝关节置换术的护理及康复训练[J].中国现代药物应用,2009,3(10):171-172.
[9]中华医学会骨科学分会.中国骨科大手术静脉血栓栓塞症预防指南[J].中华骨科杂志,2009,29(6):602-604
[10]Miyasaka KC,Ranawat CS,Mullaji A.10-to 20-year follow-up of total knee arthroplasty for valgus deformities[J].Clin Orthop Relat Res,1997,345:29-37.
[11]肖瑜,张福江,于建华等。全膝关节置换术中胫骨假体旋转对线新技术[J].中国修复重建外科杂志,2008,22(1):26-28.
[12]王晓庆,常彦青,梁春萍,等.老年人工膝关节置换术123例康复护理[J].齐鲁护理杂志,2010,16(20):17-18.