人工股骨头置换治疗老年股骨颈骨折患者32例术后康复训练.docVIP

人工股骨头置换治疗老年股骨颈骨折患者32例术后康复训练【摘要】 目的 探讨老年股骨颈患者行人工股骨头置换假体植入的康复训练。 方法 对我科2003年1月～2007年12月32例老年股骨颈骨折行人工股骨头置换术后的患者进行了术前、术后有针对性的健康教育指导。结果 32例病人康复锻炼期间,除1例发生应激性溃疡、上消化道出血不治出院后死亡,1例发生再脱位后行二次手术复位修补加强,术后未再发生脱位。其余患者均无其他并发症发生。随访6个月均无髋关节脱位发生。结论 术前积极治疗原发病,控制感染,给予良好的心理护理,针对性的健康指导,重点讲解康复锻炼的重要性,学习各种锻炼方法,以提高肌力。术后根据病人具体情况,遵循个体化、渐进性、全面性三大原则拟定康复计划,是保证康复锻炼成功的重要因素。 【关键词【 老年 股骨颈骨折 人工股骨头置换 康复训练 中图分类号:R683 文献标识号:A文章编号:1005-0515(2010)09-034-02 【Abstract】 Objective To study the femoral neck treated with hemiarthroplasty prosthesis rehabilitation training. Methods The subjects in January 2003 ~ December 2007 32 cases of femoral neck fractures in patients with femoral head replacement surgery carried out before surgery, targeted health education guide. Results 32 patients during rehabilitation exercises, in addition to 1 case of stress ulcer, upper gastrointestinal bleeding after discharge from hospital where he died the death, 1 case underwent further dislocation reduction and repair to strengthen secondary operation after operation, no recurrence of dislocation. The remaining patients had no other complications occurred. After 6 months there was no dislocation of the hip place. Conclusion The preoperative treatment of the primary disease, infection control, for a good psychological care, specific health guidance to highlight the importance of rehabilitation exercises, learning a variety of training methods to improve muscle strength. Based on the patient after the specific circumstances, be individualized, progressive and comprehensive rehabilitation programs developed three principles, is to ensure that an important factor in the success of rehabilitation exercises. 【Key words】 femoral neck fracture Femoral Rehabilitation 股骨颈骨折是一种十分常见的老年性疾病,部分患者伤前即有可能患有高血压、心脏病、糖尿病等全身性疾病,伤后卧床容易出现坠积性肺炎、泌尿系感染等多种并发症。人工股骨头置换术是治疗老年股骨颈骨折和股骨头无菌性坏死的主要方法之一[1],可有效地减轻病人的疼痛,保持髋关节稳定,恢复了髋关节的功能和活动。术后可较早进行床上活动,缩短卧床时间,明显减少各种并发症发生并得到广泛应用。而早期对病人进行康复训练尤为重要,对32例人工股骨头置换的病人,进行了康复训练,取得了较满意效果,现总结如下: 1 临床资料 2003年1月_20