全髋关节置换术后患者直立不耐受危险因素分析

Analysis of the Risk Factors of Orthostatic Intolerance in the Patients after Total Hip Arthroplasty

摘要: 目的：探讨全髋关节置换术(THA)后患者直立不耐受(OI)危险因素。方法：采用随机抽样法，选取2022年3月至2022年8月我院关节外科收治的接受全THA的患者120例进行研究，收集及整理患者的资料，据是否发生OI分为OI组(n = 55)和非OI组(n = 65)，分析THA患者术后发生OI的危险因素。结果：THA患者术后OI的总体发生率为45.83%。两组相比，高龄女性更易发生OI，且两组间高血压、血红蛋白下降水平、术后疼痛、体位适应性训练均存在差异，且具有统计学意义(P < 0.05)。结论：THA术后患者OI的发生率较高，医护人员应重点关注年龄、性别、高血压、血红蛋白下降水平情况，并控制术后疼痛、进行床边体位适应性训练，以减少患者术后直立不耐受的发生，提高生活质量。

Abstract: Objective: To explore the risk factors of orthostatic intolerance (OI) in the patients after total hip arthroplasty (THA). Methods: A total of 120 patients with total hip arthroplasty hospitalized in the joint surgery department of our hospital from March 2022 to August 2022 were selected as the research subjects by random sampling method, and the data of patients were collected and sorted out. According to whether OI was occurred, they were allocated into an OI group (n = 55) and a non-OI group (n = 65), and the risk factors of OI were analyzed. Results: The overall incidence of OI was 45.83% after total hip arthroplasty. Compared with the two groups, old age and women were more likely to have OI. There were significant differences in the hypertension, decreased level of hemoglobin, postoperative pain, and postural adaptation training between the OI group and the non-OI group (P < 0.05). Conclusion: The incidence of OI in the patients after THA is very high. We should focus on age, gender, hypertension, decreased level of hemoglobin and control postoperative pain, have postural adaptation training, which can effectively reduce the incidence of orthostatic intolerance and improve their quality of life.