![股骨头坏死康复指南](https://wfqqreader-1252317822.image.myqcloud.com/cover/38/23313038/b_23313038.jpg)
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七、住院病人日程安排
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0081_0001.jpg?sign=1739312694-LGeogDXcTltq9MMxSEqQdE0ojymDPK6L-0-dc265649745ae3c758d0d0b37d3a05db)
备注:
1.此表适用于股骨头坏死住院病人“3+X”综合治疗日程安排。
2.髋关节未稳定的病人行走时要求拄拐,避免髋关节负重。
3.牵引的方法:重量为3千克左右,一日3次,每次30分钟;平卧位,下肢外展30度,膝下垫一软枕使屈髋屈膝30度。
附1:髋关节功能自我评估(JOA表)
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0082_0002.jpg?sign=1739312694-hYwiV7BuiFwzf3SupsCEbZ3c2h2dN7lf-0-848899951e2a8bcf7010f6e5e80af20e)
续表
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0083_0001.jpg?sign=1739312694-4lFHJOEek8WvMfiMJwBdhvQLxSVW9kAv-0-ecdac77303525313b3dca485ec7a817e)
改善率=[(治疗后评分-治疗前评分)÷(100-治疗前评分)]
改善率还可对应于通常采用的疗效判定标准:
改善率大于80%时为治愈,50%~80%为显效,20%~50%为有效,小于20%为无效。
附2:自我评估表
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0084_0001.jpg?sign=1739312694-cuRK0um4zSFmIgKjR9eMO2ZpVDIPBSHb-0-c78200000ce268c5a1c350e165e5cd9f)
附3:股骨头坏死临床护理路径
对象:第一诊断为骨蚀(TCD编码为:BNV090骨蚀;ICD—10编码为:M87股骨头坏死)
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0085_0001.jpg?sign=1739312694-FH9UuA9WJVbG4txTgYNkzs1h8h9DNB1j-0-845df94b6753b3a180a93f662f14d1dd)
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0086_0001.jpg?sign=1739312694-f770DNftmaQLN1lxNytJKIzsf8DlRHM7-0-c66ee3c5b3611a7d2eaa38605b6dad13)
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0087_0001.jpg?sign=1739312694-aMJ9rAPufEMwllJiSuwIESZ3pJ3lGIpK-0-6d6aa2fe46b84791cde859cc2309c31a)
![](https://epubservercos.yuewen.com/F8FFEB/11909774404616206/epubprivate/OEBPS/Images/figure_0088_0001.jpg?sign=1739312694-EEflnHXb0xtSQCsfMWioUsVePnLp4Z0p-0-7897fd20901de412a207497d94180850)