【摘要】 目的：探讨督灸联合穴位电刺激的综合护理对老年骨质疏松性髋部骨折患者全髋关节置换术（total hip arthroplasty,THA）后的影响。方法：选取髋部骨折行THA的患者70例，按照随机数字表法分为治疗组与对照组，每组35例。对照组THA术后行常规康复干预措施；治疗组于对照组基础上予督灸联合穴位电刺激的综合护理。干预3周后比较两组患者下床活动时间、术后负重时间、骨密度、髋关节功能、髋关节功能疗效。结果：治疗组患者下床行走时间、术后负重时间短于对照组（P<0.01）；术后12周，两组患者腰椎（L2-L4）正位和股骨颈骨密度水平升高，治疗组高于对照组（P<0.01）；干预3周、术后12周，两组患者Harris评分均高于术前，治疗组高于对照组（P<0.01）；治疗组患者髋关节功能优良率为88.57%(31/35)，高于对照组的62.86%(22/35)(P<0.05)。结论：在常规康复干预的基础上，对老年骨质疏松性髋部骨折患者THA术后采用督灸联合穴位电刺激干预疗效更优，有利于病情康复，提高骨密度，促进髋关节功能恢复。更多还原

【Abstract】 Objective: To explore the influence of Du meridian moxibustion joined with transcutaneous electrical acupoint stimulation(TEAS) on the rehabilitation of the elderly patients with osteoporotic hip fracture after total hip arthroplasty(THA). Methods: Seventy patients who performed THA were chosen, and divided into the treatment group and the control group according to random number table method with 35 cases in each group. The control group accepted conventional rehabilitation interventions after THA, and the treatment group was given comprehensive nursing including Du meridian moxibustion and TEAS. To compare the time of off-bed activities, postoperative weight-bearing time, bone density, and hip joint function between both groups after three weeks of the intervention. Results: The treatment group was shorter than the control group in the time of off-bed activities and postoperative weight-bearing time(P<0.01); BMD levels of lumbar vertebrae(L2-L4) and femoral neck were elevated at 12 weeks after the operation, the treatment group was higher than the control group(P<0.01); Harris scores of the two groups after three weeks of the intervention and at 12 weeks after the operation were higher than these before the operation, and the treatment group was higher than the control group(P<0.01); the excellent rate of hip function of the treatment group was 88.57%(31/35), higher than 62.86%(22/35) of the control group(P<0.05). Conclusion: On the basis of conventional rehabilitation intervention, the combination of Du meridian moxibustion with TEAS given to the patient after THA could gain better clinical effects, which was conducive to the recovery of the disease, improve BMD and promote the recovery of hip function.更多还原