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目的分析探讨成人CroweⅣ型髋关节发育不良行全髋关节置换术后并发症的预防及康复护理效果。方法 28例成人CroweⅣ型髋关节发育不良患者,均行人工全髋关节置换术,所有患者均进行手术前及手术后的双下肢长度测量、外展肌力测定以及髋关节功能评分。观察其临床效果。结果患者经治疗后术后6个月髋关节功能评分量表(Harris)评分为75~90分,平均评分为(87±1)分,所有患者手术切口均愈合良好,无感染发生,1例患者出现术后髋关节脱位,经对症治疗后改善。结论成人CroweⅣ型髋关节发育不良行全髋关节置换术需在早期对患者进行的评估,结合适合患者自身的护理及康复方法,有效改善并发症的发生,保证患者的治疗效果。
Objective To investigate the prevention and the effect of rehabilitation nursing on the complications of total hip arthroplasty in adults with Crowe type Ⅳ dysplasia. Methods Twenty-eight adult Crowe ¢ ô type Hip dysplasia patients underwent total hip arthroplasty. All patients underwent both preoperative and postoperative length measurements of both lower extremities, abduction strength measurements and hip function scores. Observe its clinical effect. Results The postoperative 6 months after operation, the Harris score was 75 ~ 90 and the average score was (87 ± 1) points. All patients underwent surgical incision healed well without infection, and 1 patient Patients with postoperative hip dislocation, after symptomatic treatment improved. Conclusion Adult Crowe ¢ ô type hip dysplasia total hip arthroplasty in patients with early assessment, combined with the patient’s own care and rehabilitation for patients with complications and effectively improve the incidence of complications, to ensure the patient’s treatment.