髋关节置换术护理12ppt课件.ppt

什么时候下地 术后3天至一周，使用的是骨水泥固定型假体，又是初次髋关节置换术，术中也没有植骨、骨折等情况，病人在术后一周即可以下地进行康复练习。 将手术腿移到床下，防止手术髋外旋 将步行器放在手术侧的腿旁，向床边移动身体 健腿顺势移到床下，将身体转正，扶步行器站立，行走时，先行患肢再行好健肢。 助步器的使用 助步器种类 助步器防滑把手 助步器高度 屈肘30度 错误姿势 患侧先走 下蹲训练 避免髋关节屈曲超过90°的深蹲 采用坐式马桶 关节平衡训练 站立下肢外展－双下肢平衡站立、身体伸直，患肢向外侧举起，然后慢慢放回着地。 站立下肢后伸－患肢慢慢向后拉（腰部伸直）维持2-3秒钟，再放回着地 穿裤子时先穿患侧后穿健侧， 脱裤子时先脱健侧再脱患侧。 在伸髋后屈膝下进行。穿无需 系带的鞋,鞋底宜用软胶,不 穿高跟鞋或滑底拖鞋 穿脱裤子 穿鞋，袜 穿袜子 谢谢观看！ * Fitting your walker Adjust your walker so that it fits your arms comfortably. To tell if your walker is the correct height, step inside your walker and: Check your elbow bend. Place your hands on the grips. Your elbow should bend at a comfortable angle — about 30 degrees. Check your wrist height. Relax your arms at your sides. The top of your walker should line up with the crease on the inside of your wrist. A properly fitted walker reduces the stress on your shoulders and back as you move the walker in front of you. Taking your first step If you have a leg injury or disability, begin moving with your walker by pushing your walker forward. Keep your back upright. Dont lean over your walker Pushing your walker out too far in front of you is a common mistake. Always step into your walker, rather than walking behind it, so youll stay upright as you move. Another common mistake is to set your walker at too great a height. Both of these errors can make using your walker less comfortable and make it more likely that youll fall. 髋关节置换术的护理 翟培丽 解剖位置 人工全髋关节置换术(Total Hip Replacement , THR) 是通过植入人工全髋关节假体治疗髋关节疾患的外科技术, 是成人髋关节成形术中最常用的方法, 是近年来发展最快的骨科分支之一。 * 人工髋关节的外形 适应症：改善功能 提高生活质量 术前护理 1.按外科手术前常规护理 2.专科护理： 皮 肤 准 备 备皮范围:上界平肋弓，下界达膝关节，前后均须超过躯干中线，包括会阴 术前功能锻炼 训练床上使用便器 呼吸功能锻炼 戒烟 有效咳嗽 T型枕的使用 四肢功能锻炼 扩胸运动 踝泵运动 抬臀运动 股四头肌收缩  训练床上使用便器 放置便盆：嘱患者拉住牵引床上的吊手环，健肢撑床用力，协助将骨盆整体托起，从健侧置入便盆，同时应注意保护患者髋关节，防止