多学科康复护理联合活血化瘀汤熏洗对股骨颈骨折患者术后康复的影响

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Abstract Objective To observe the value of multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation in patients with femoral neck fractures. Methods A total of 103 patients with femoral neck fractures who were treated in Traditional Chinese Hospital of Lu’an of Anhui Province (hereinafter referred to as “our hospital”) from January 2018 to December 2019 were selected as the research object. They were divided into control group （n = 51） and observation group （n = 52） by random number table method. The control group received routine rehabilitation nursing combined with Huoxue Huayu Decoction fumigation, while the observation group received multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation after operation; the pain levels of the two groups were compared one, three and seven days after surgery （using visual analog score [VAS] scale）; after three months of intervention, the recovery of hip function in both groups (using the hip score scale [Harris]) and daily life self-care ability (activities of daily living [ADL] assessment scale) were evaluated; the self-made nursing satisfaction questionnaire of our hospital was used to evaluate the nursing satisfaction of the two groups. Results Three and seven days after surgery, the VAS scores of both groups were lower than that one day after surgery, and the VAS scores seven day after surgery in both groups were lower than that three day after surgery (P ＜ 0.05). However, the VAS score at each time point between the two groups was compared, the difference was not statistically significant (P ＞ 0.05). After three months of intervention, the good rate of hip joint function recovery in the observation group was higher than that in the control group (P ＜ 0.05). After three months of intervention, the ADL scores of the two groups were higher than those before the intervention, and the observation group was higher than the control group (P ＜ 0.05). The total satisfaction rate of nursing in the observation group was higher than that in the control group (P ＜ 0.05). Conclusion Multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation as intervention for patients with femoral neck fracture is more conducive to improving postoperative hip function, patients’ daily living ability and the nursing satisfaction is high.

Key words： Femoral neck fracture Huoxue Huayu Decoction Fumigation treatment Multidisciplinary rehabilitation nursing Pain Hip function Daily life ability

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	TIAN Xingcui CHEN Min WANG Li LI Linyun XU Qilan▲

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TIAN Xingcui CHEN Min WANG Li LI Linyun XU Qilan▲. Effect of multidisciplinary rehabilitation nursing combined with Huoxue Huayu Decoction fumigation on the postoperative rehabilitation of patients with femoral neck fracture[J]. 中国医药导报, 2021, 18(1): 193-196.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I1/193

[1] 吴静.术后早期康复锻炼处方对股骨颈骨折患者髋关节功能康复的影响[J].实用临床医药杂志，2016，20（4）：100-103.
[2] Graham S，Dahill M，Robinson D. Reducing returns to theatre for neck of femur fracture patients [J]. BMJ Qual Improv Rep，2017，6（1）：215-218.
[3] 姚允萍，耿硕.阶段性康复功能锻炼在股骨颈骨折行髋关节置换术后的应用[J].中国医药导报，2016，13（9）：118-121.
[4] 黄旭辉，张红莉，许蝶，等.康复护理对老年股骨颈骨折术后功能恢复及生活质量的影响[J].中医药导报，2018， 24（22）：112-115.
[5] 赵爱娥，庞晋莲.多学科合作康复护理在腹腔镜治疗异位妊娠患者中的效果分析[J].中国药物与临床，2019，19（8）：1377-1379.
[6] 陈剑磨，凌义龙，沈剑增.中药熏洗促进肱骨干骨折术后骨折愈合的临床分析[J].中国中医药科技，2019，26（3）：427-428.
[7] 石玮玮，鲁丽莎，马士辉，等.中医特色疗法联合早期康复在老年股骨颈骨折术后下肢深静脉血栓随机平行对照研究[J].四川中医，2017，35（4）：203-206.
[8] 胥少汀，葛宝丰，徐印坎.实用骨科学[M].4版.北京：人民军医出版社，2012：1562.
[9] Crichton N. Visual Analogue Scale （VAS） [J]. J Clin Nurs，2009，10（5）：706-707.
[10] Wamper KE，Sierevelt IN，Poolman RW，et al. The Harris hip score：Do ceiling effects limit its usefulness in orthopedics [J]. Acta Orthop，2010，81（6）：703-707.
[11] Seaton MK，Groth GN，Matheson L，et al. Reliability and Validity of the Milliken Activities of Daily Living Scale [J]. J Occup Rehabil，2005，15（3）：343-351.
[12] 居家宝，张培训.髋部骨折流行病学特点：单中心1397例分析[J].实用骨科杂志，2019，25（7）：592-595.
[13] 翁蔚宗，张建政，徐海栋，等.髋部骨折流行病学分布特点：单中心2859例分析[J].第二军医大学学报，2017， 38（4）：415-420.
[14] 沈晓玲.康复护理对股骨颈骨折患者全髋关节置换术后功能恢复的影响[J].实用临床医药杂志，2018，22（2）：82-85.
[15] 呼菊莲.系统护理干预对围术期老年股骨颈骨折患者心理状况及并发症的影响[J].现代中西医结合杂志，2017， 26（28）：105-107.
[16] 文曦娜.中医康复疗法在股骨颈骨折手术后的疗效分析[J].世界中医药，2016，11（3）：826-827.
[17] 梁泳聪，李伟强，欧晓丹，等.正骨十四法结合中医熏洗对老年桡骨远端骨折腕关节功能恢复的影响[J].长春中医药大学学报，2018，34（6）：139-142.
[18] 林砚铭，王建凯，黄勇，等.手法复位小夹板固定配合中药熏洗治疗肱骨干骨折[J].四川中医，2017，35（6）：168-169.
[19] 张朝仁，邓友章，常振湘，等.活血疏经方中药熏洗对稳定性桡骨远端骨折后期功能恢复的影响[J].世界中西医结合杂志，2016，11（8）：1140-1142，1146.
[20] Yang SD，Ning SH，Zhang LH，et al. The effect of lower limb rehabilitation gymnastics on postoperative rehabilitation in elderly patients with femoral shaft fracture：A retrospective case-control study [J]. Medicine，2016， 95（33）：4548-4550.
[21] 李临博.加速康复外科护理对老年股骨颈骨折患者术后恢复及认知功能的影响[J].湖南中医药大学学报，2019， 39（1）：110-113.
[22] 周海晏，吴立新，汪苗，等.多学科合作连续康复护理对脑卒中偏瘫患者生存质量的影响[J].安徽医药，2018， 22（8）：1625-1627.
[23] 吴奇云，殷超鸣，蒋玲，等.多学科合作情景模拟培训在ICU早期康复护理培训中的应用[J].护理研究，2016， 30（6）：682-684.
[24] 向青天，于亚军，王春华，等.多学科协作诊疗在髋部骨折围手术期应用效果观察[J].中国骨与关节损伤杂志，2018，33（4）：54-55.
[25] 张晓莹，张翠英，王元玲.多学科协作护理模式在伴有基础疾病的老年胸腰椎骨折围术期中的应用[J].海南医学，2019，30（7）：139-142.