共查询到20条相似文献，搜索用时 156 毫秒
1.
对89例全髋置换术患者进行渐进式精心康复护理,患者接受了正确的体位及康复锻炼.发生一例肺部感染,一例压疮,一例因心肌梗塞死亡,一例脑梗塞放弃治疗.87例恢复了髋关节的主动运动功能.表明正确的康复护理是手术成功的重要保证,同时有利于促进患者早日康复,提高生活质量. 相似文献
2.
人工全膝关节置换术术后早期康复训练的探讨 总被引：1，自引：0，他引：1
目的:探讨人工全膝关节置换术术前、术后早期康复训练的对策与方法。方法:所有膝关节置换术前、术后进行护理指导与康复锻炼,出院健康宣教,并进行随访。结果:经临床评定、出院随访,所有膝关节置换术无一例并发症发生,负重疼痛缓解,膝内外翻畸形矫正,膝关节屈曲达到90°。结论:由于膝关节功能主要体现在关节活动度及股四头肌、腘绳肌肌力,所以康复的主要内容是受累膝关节的关节活动度锻炼[1]及股四头肌、腘绳肌肌力增强锻炼。 相似文献
3.
陈瑞侠 《赤峰学院学报(自然科学版)》2005,21(5):91-92
探讨老年患者人工全膝关节置换术术前、术后早期康复训练的对策与方法.经临床评定、出院随访,所有膝关节置换术无一例并发症发生,负重疼痛缓解,膝内、外翻畸形矫正,膝关节屈曲达到90°,是安全有效的.康复的主要内容是ROM锻炼及股四头肌、月国绳肌肌力增强锻炼. 相似文献
4.
《教育教学论坛》2015,(46)
随着生活及医疗水平的提高,人工膝关节置换术日益成熟,人工全膝关节置换术的开展,可使患者最大限度地恢复膝关节功能,膝关节置换术后的并发症比较多,对人工膝关节置换患者术前进行护理指导,可使患者预先掌握功能锻炼方法及注意事项,预防并发症发生,通过对人工全膝关节置换术的病人实施有计划的健康教育,可使病人基本了解有关膝关节置换术前、术后的相关知识,懂得如何正确使用行走辅助器,并进行预习,进行自我护理,从而较大地提高了术前、术后的护理质量,同时也进一步调动了病人的主观能动性,减轻了病人在精神上、心理上的思想包袱,也激发了病人对生活的渴望和热情,对患者进行术后早期康复指导,能加快和促进膝关节功能的恢复。因此做好术前和术后护理是手术成功与否的重要环节。我院骨科从2013年至今,实施人工膝关节置换术共52例,术后取得了满意的效果。 相似文献
5.
预防人工关节置换术后下肢深静脉血栓形成的护理对策 总被引：1，自引：0，他引：1
下肢深静脉血栓（deep venous thrombosis，DVT）是髋膝人工关节置换术后常见的并发症之一。据国内有关研究报道，人工关节置换术后DVT的发生率可高达47．1％，严重影响患者的预后及生活质量，因此DVT的预防护理对减轻患者的痛苦和促进康复非常重要。我院自2003年4月对人工关节置换术患者开展了早期功能锻炼指导与协助医师预防性抗凝治疗相结合的护理干预对策，取得了良好效果。 相似文献
6.
通过查阅相关文献资料及专家访谈,进行实验设计,对受试对象随机分组,一组为对照组,一组为负重训练组。实验前后分别进行纵跳、立定跳远及50m冲刺测试,并对所得的数据进行分析,得出穿背心及踝负重训练的成绩明显高于对照组。并对穿负重背心及踝负重训练方法提出了一些建议。 相似文献
7.
[目的]探讨强直性脊柱炎伴双侧全髋关节置换术患者的手术后护理方法。[方法]对5例强直性脊柱炎施行了双侧全髋关节置换术患者,做好并发症的观察与预防,进行周密的早期功能锻炼和保持正确的体位。[结果]5例10个髋关节置换术后患者仅有一侧伤口出现红肿,由于及时发现并采取积极的措施,无出现后遗症。[结论]加强对患者病情观察和功能锻炼的指导,是增强手术效果的关键。 相似文献
8.
孙锦发 《廊坊师范学院学报(自然科学版)》2015,(3):51-52
目的比较髓内固定系统(PFNA)和人工股骨头置换术(HHA)治疗老年股骨转子间骨折的效果。方法将82例老年股骨转子间骨折患者随机分为观察组和对照组,各40例。观察组实施HHA,对照组实施PFNA。比较2组患者手术时间、术中出血量、术后下床时间、完全负重时间、髋关节功能及并发症。结果与对照组比较,观察组术中出血量较多、手术时间较长但下床活动时间早、并发症发生率、完全负重时间早,髋关节功能好,2组差异有统计学意义(P<0.05)。结论高龄不稳定型骨折、骨质疏松严重、患者术前可行走、能耐受手术患者选择人工股骨头置换术,风险小,下床时间和负重行走时间早,并发症发生率低。 相似文献
9.
秦云华 《连云港师范高等专科学校学报》2002,(4):69-70
通过文献法、问卷调查法等研究手段调查发现 ,部分高校开设了健美课 ,大学生开始的负重练习热情很高 ,但是学生从事练习的人数却呈现下降趋势 ,探究造成学生淡出负重练习现状的原因 ,引导大学生科学的进行健身 ,增强负重练习意识。 相似文献
10.
通过对12例人工全髋关节置换患者的护理,我们体会到：因全髋关节置换术后患者卧床时间相对延长,护理的重点是背部及尾骶部皮肤护理、肺部并发症预防和防止髋关节脱位．其中1例患者双侧假体同期置入,手术时间长,术中失血多,术后伤口感染几率高,预防的关键措施是：术前做好术区皮肤准备,术后保持引流通畅、密切观察患者体温变化及肢体情况、保持正确体位、预防关节脱位和深静脉检塞、指导患者功能锻炼． 相似文献
11.
郑薇 《泰州职业技术学院学报》2011,11(2):74-75,66
目的探讨全髋关节置换术后患者预防深静脉血栓（D VT）的护理。方法回顾性分析2008年3月-2009年3月收治的实施全髋关节置换术患者的临床资料。将108例按入院顺序随机分配对照组和实验组各54例,实验组采用健康宣教、病情观察、施行深静脉泵、药物疗法、运动疗法等护理干预。对照组患者术后常规护理。比较两组患者实行护理干预后深静脉血栓的发病率有无显著差异。结果实验组患者术后深静脉血栓发病率低于对照组。结论与术后常规护理相比,对全髋关节置换术后患者实行实验组的相关护理干预可减少深静脉血栓的发生并提高手术成功率。 相似文献
12.
探讨个体化延续护理服务对人工全髋关节臵换术患者康复情况及自理能力恢复的影响。选取行人工全髋关节臵换术患者60例作为研究对象,随机分为对照组30例,观察组30例,对照组给予常规的出院护理指导,观察组给予延续护理服务,通过Harris评分、Barthel指数评分对患者康复情况进行评价。观察组出院后1个月、3个月Harris评分、Bathel指数评分明显高于对照组(P<0.05)。个体化延续护理服务可以促进人工全髋关节臵换术患者的康复,改善其生活质量。 相似文献
13.
M. Kay Cresci 《Educational gerontology》2013,39(3-4):281-295
One type of social support is social activity. Most older adults engage in some form of social activity with network members, either in person or by telephone, especially during an episode of an acute illness. Informational support (one type of functional social support) provides an individual with the necessary knowledge and skills to resolve various problems and stressful situations. This support is provided by members and for members within a social network. The purpose of this study was to examine the influence of social activity, a component of informational support, on postinjury functional status following a hip fracture in women 65 years of age and older. A cross-sectional exploratory study was conducted to examine the relationship between informational support and postinjury functional status in older women recovering from hip fracture. A correlational design was used to examine the relationships among an older woman's individual characteristics, social activity-informational support, and postinjury functional status. The sample was obtained from two community hospitals containing subacute units and a geriatric center with a short stay rehabilitation unit. Over half of the respondents were interviewed in their homes (55%); the remaining were interviewed either at a hospital subacute unit (33%), geriatric rehabilitation center (11%), or while living with a family member (1%). Instruments used in this study included: (a) Pfeiffer's Short Portable Mental Status Questionnaire, (b) the instrumental activities of daily living and a modified version of physical activities of daily living subscales from the OARS Multidimensional Functional Assessment Questionnaire, (c) the modified Informational Support subscale in the Inventory of Socially Supportive Behaviors version, and (d) individual characteristics (age, marital status, education, income, living arrangement, preinjury functional status, time since injury, number of postoperative complications, length of hospital stay, and discharge destination). A convenience sample of 73 respondents were interviewed. Results indicated that: (a) time since injury predicted informational support, and (b) preinjury functional status (FS), time since injury, and informational support predicted postinjury FS. This is the first study to examine the influence of informational support on postinjury functional status in older women recovering from a hip fracture. The results support an important relationship between informational support and postinjury functional status. Future studies are needed to explore how informational support from health care providers, family, friends, and community can improve the recovery process and to assist the interdisciplinary team in designing therapeutic interventions that promote informational support in hip fracture patients. 相似文献
14.
目的分析人工髋关节置换术后坐骨神经损伤原因,提出相应防治办法.方法回顾我科2008年1月至2013年3月行改良Gibson入路人工髋关节置换术364例患者中5例坐骨神经损伤的病例,分析其术后发病情况及治疗经过,总结坐骨神经可能损伤原因,并提出相应对策.结论人工髋关节置换中坐骨神经损伤并不常见,但属于较严重的并发症.针对性处置术前、术中、术后相应情况,可减少坐骨神经损伤的发生. 相似文献
15.
Robert A. Rescorla 《Learning & behavior》1996,24(4):450-458
Prior reports have shown that instrumental responses are selectively depressed by devaluing the outcomes they have earned. This occurs even when the response-outcome association has been subjected to a decremental procedure, such as extinction or replacement of that outcome by another. From these results it has been concluded that response-outcome associations are unaffected by various decremental procedures. However, since devaluation takes several days, it is possible that the decremental treatments do attenuate the response-outcome association but it then spontaneously recovers during the time of devaluation. Four experiments investigated this possibility by replicating previous findings under circumstances that allow assessment of recovery for other, concurrently treated, behaviors. The primary responses continued to show full sensitivity to devaluation of their outcomes, despite evidence that recovery of the other behaviors was far from complete. This suggests that the original response-outcome association was preserved and fully functional throughout the decremental and devaluation phases of the experiment. 相似文献
16.
目的:探讨归芪五味消毒饮联合抗生素预防关节置换术后感染的临床疗效。方法:2015年10月至2020年10月收治200例关节置换患者,其中全髋关节置换50例,人工股骨头置换80例,全膝关节置换40例,膝关节单髁置换30例,每种病例随机分成2组,一组为观察组,另一组为对照组。所有患者常规应用抗生素,同时观察组于术后第1d开始口服归芪五味消毒饮,每天1剂,连用5d。分别于手术前、术后1、5d抽静脉测定C反应蛋白(CRP)、血测白细胞数量(WBC)、红细胞沉降率(ESR)。同时随访观察患者的切口愈合情况。结果:观察组和对照组手术前和手术后第1d后的CRP、WBC计数、ESR比较,差异均无统计学意义。术后1d的CRP、WBC计数、ESR均高于术前和术后5d(对照表1、2、3)。术后第5天两组之间的CRP、WBC计数、ESR比较,差异均有统计学意义。术后观察组均未发生感染,切口均愈合良好,对照组4例切口浅表感染,伤口延迟愈合。观察组切口愈合时间(13±3)d,对照组切口愈合时间(16±4)d。结论:归芪五味消毒饮联合抗生素可明显改善血液炎性指标,预防关节置换术后感染。 相似文献
17.
指数法和双曲线法组合预测单桩极限承载力 总被引：3，自引：0，他引：3
根据水泥搅拌桩静载试验的有限实测数据预测其极限承载力是工程中常用的方法，文章简要介绍了指数和双曲线这两种预测方法。以权重将两种方法的预测值进行组合。通过工程实例的验算，说明组合预测法的有效性和可行性，并对指数法和双曲线法的结果进行比较。 相似文献
18.
Objective： The aim of this retrospective investigation was to explore the influence of femoral osteoporosis on short-term curative effects ofcementless hip arthroplasty and to evaluate the femoral metaphyseal bone mineral density （BMD） for femoral osteoporosis in order to guide prosthesis choice and rehabilitation. Methods： We performed 127 total arthroplasty operations between June 1999 to February 2003 and investigated 49 cementless hip replacements with the Metalcancellous cementless Lubeck Ⅱ system being used in all hips. There were twenty men and twenty-nine women whose mean age at the time of the operation was 60 years （range, 52-81 years）. The patients were divided into osteoporosis or normal groups according to the femoral metaphyseal BMD measured preoperatively. The average duration of follow-up was 30 months （range, 8-52 months）. We evaluated all of the patients from a clinical standpoint with use of a standard-terminology questionnaire with respect to the short-term curative effects and patients＇ satisfaction. Hip pain status and functional ability were important indicators of treatment efficacy. Results： Harris hip score and patients＇ satisfaction in femoral osteoporosis patients who underwent noncemented hip arthroplasty were lower （P=0.004, P=0.03） while the incidence of thigh pain was higher （P=0.03） than the patients with non-osteoporosis. Conclusion： The higher incidence of pain, as well as the decrease in function experienced by the patients in osteoporosis group, supports the case that cementless arthroplasty is not a better choice for those patients and that we had better select prosthesis based on the femoral metaphyseal BMD. 相似文献
19.
本研究以魔芋粉、奇亚籽、果胶为代餐饮品的主要成分,通过单因素实验,研究魔芋粉、果胶、奇亚籽的添加量对代餐饮品弹性、均一性、透明度的感官评分以及黏度的影响,确定影响因素的水平范围;通过正交实验,以黏度、可溶性固形物、感官评价作为综合评分的指标,对代餐饮品进行综合评价。实验结果表明,代餐饮品综合评分的主次因素依次为:魔芋粉添加量>果胶添加量>奇亚籽添加量,其中魔芋粉添加量对代餐饮品综合评分具有显著影响。在果胶0.3 g,魔芋粉0.6 g,奇亚籽0.3 g的添加条件下制得的即冲型代餐饮品,能量少,冲调状态稳定,弹性适宜,质地均匀,感官评分最高,且具有很好的饱腹效果,确定为该即冲型代餐饮品的最佳配比。 相似文献
20.
目的：分析和评价加长柄人工股骨头置换术治疗高龄股骨粗隆部不稳定骨折的方法及疗效。方法：本组15例,男10例,女5例;年龄70～90}0,平均79岁。骨折按Evans分类,ⅢA型9例,ⅢB型6例。取髋关节后外侧切口,术中注意保留股骨大、小转子部位的骨折块,用骨水泥固定,争取将其重新复位。由于股骨颈及股骨距骨缺损,在插入人工股骨柄之前可用试模测试。股骨距部位的骨缺损用骨水泥充填重塑,关节腔内置负压引流管48—72h。结果：15例患者均康复出院。住院时间16～24d,平均20d。均获得随访,平均随访时间8个月（6—12个月）,伤口均一期愈合,无感染,无假体松动,无下肢深静脉栓塞发生,无髋关节脱位或半脱位发生,无病人死于手术并发症,12例病人髋关节功能满意。结论：加长柄人工股骨头置换术是治疗高龄股骨粗隆部不稳定骨折的可靠方法,其操作可行,疗效满意,可降低死亡率、改善生活质量。 相似文献