全髋关节置换患者术后早期活动有效性与安全性的系统评价
A Systematic Evaluation of the Efficacy and Safety of Early Postoperative Activity in Patients with Total Hip Arthroplasty
DOI: 10.12677/NS.2021.105096, PDF,   
作者: 房金霞, 滕 敏, 杨丽娟：山东大学附属省立医院，山东 济南；孙 欣：山东第一医科大学附属省立医院，山东 济南
关键词: 全髋关节置换；早期活动；有效性及安全性；系统评价； Total Hip Replacement； Early Activities； Effectiveness and Safety； System Evaluation
摘要: 目的：系统评价THA患者术后早期进行活动的有效性及安全性。方法：计算机检索PubMed、EMBASE、Cochrane Library、Web of Science、CINAHL、CBM、中国知网和万方数据库关于THA患者术后早期活动的随机对照试验和临床对照试验，采用Cochrane Handbook (5.1.0)对文献质量进行评价，采用RevMan5.3软件进行Meta分析。结果：共纳入12项研究，结果显示，早期下床活动可改善THA患者术后15天[MD = 9.66, 95% CI (4.63, 14.68)]、30天髋关节功能[MD = 7.07, 95% CI (6.36, 7.78)]，缩短住院时间[MD = −2.20, 95% CI (−3.22, −1.19)]，并降低静脉血栓[RR = 0.26, 95% CI (0.13, 0.52)]、关节脱位[RR = 0.12, 95% CI (0.02, 0.65)]、便秘[RR = 0.08, 95% CI (0.02, 0.30)]及压疮[RR = 0.37, 95% CI (0.11, 1.21)]的发生率。结论：THA患者术后早期进行活动能够明显改善术后15天、30天髋关节功能，缩短住院时间，且降低术后并发症发生率，建议临床推广使用。
Abstract: Objective: To systematically evaluate the efficacy and safety of early postoperative activities in PATIENTS with THA. Methods: Randomized controlled trials and clinical controlled trials on early postoperative activities of PATIENTS with THA were searched by computer in PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, CBM, CNKI and Wanfang database. Cochrane Handbook (5.1.0) was used to evaluate the literature quality, and RevMan5.3 software was used for Meta analysis. Results: A total of 12 studies were included, and the results showed that early out of bed activity could improve the hip function of THA patients 15 days after surgery [MD = 9.66, 95% CI (4.63, 14.68)] and 30 days after surgery [MD = 7.07, 95% CI (6.36, 7.78)], and shorten the length of hospital stay [MD = −2.20, 95% CI (−3.22, −1.19)]. And reduce enous thromboembolism (RR = 0.26, 95% CI (0.13, 0.52)], joint dislocation (RR = 0.12, 95% CI (0.02, 0.65)], constipation (RR = 0.08, 95% CI (0.02, 0.30)] and pressure ulcers (RR = 0.37, 95% CI (0.11, 1.21)] the incidence of. Conclusion: Early postoperative activities in patients with THA can significantly improve the hip joint function at 15 and 30 days after the operation, shorten the length of hospital stay, and reduce the incidence of postoperative complications. It is recommended to promote clinical use.
文章引用：房金霞, 孙欣, 滕敏, 杨丽娟. 全髋关节置换患者术后早期活动有效性与安全性的系统评价[J]. 护理学, 2021, 10(5): 589-598. https://doi.org/10.12677/NS.2021.105096

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