阶梯式模拟居家康复训练对髋关节置换术患者髋关节功能恢复的影响

Effect of Stepwise Simulated Home-based Rehabilitation Training on Functional Recovery of Hip Joint in Patients Undergoing Hip Replacement

目的研究阶梯式模拟居家康复训练对髋关节置换术患者髋关节功能恢复的影响。方法选取2019年12月-2022年12月在我院接受髋关节置换术的120例患者,根据随机数字表法将其分为对照组和研究组,每组各60例。对照组行常规康复训练,研究组行阶梯式模拟居家康复训练,观察两组患者术后3 d、出院前日、术后1月髋关节功能及日常生活能力。结果对照组有1例患者因问卷填写有误剔除,最终119例患者完成研究。术后3 d,两组患者OHS总评分对比无显著差异(P>0.05);出院前日,两组患者OHS总评分与术后3 d对比均有下降(P<0.05),研究组低于对照组(P<0.05);术后1月,对照组与术后3 d及出院前日对比均有下降(P<0.05),研究组低于对照组(P<0.05);术后3 d,两组患者BBA总评分对比无显著差异(P>0.05);出院前日,两组患者BBA总评分与术后3 d对比均有提升(P<0.05),研究组高于对照组(P<0.05);术后1月,对照组与术后3 d、出院前日对比均有提升(P<0.05),研究组高于对照组(P<0.05)。结论阶梯式模拟居家康复训练可有效提升髋关节置换术患者髋关节功能,从而提升其日常生活活动能力。

Objective:To study the effect of stepped simulated home-based rehabilitation training on functional recovery of hip joint in patients undergoing hip replacement.Methods:A total of 120 patients who underwent hip replacement in our hospital from December 2019 to December 2022 were selected,and were divided into the control group and the study group according to a random number table,with 60 cases in each group.The control group received routine rehabilitation training,while the study group received stepped simulated home-based rehabilitation training.The function of hip joint and activities of daily living(ADL)were observed on 3 d after surgery,on the day before discharge and at 1 month after surgery.Results:One patient in the control group was excluded due to wrong questionnaire filling,and finally 119 patients completed the study.On 3 d after surgery,there was no significant difference in total OHS score between two groups(P>0.05);On the day before discharge,the total OHS scores of patients in both groups decreased compared with those on 3 d after surgery(P<0.05),and that in the study group was lower than that in the control group(P<0.05).At 1 month after surgery,the total OHS scores in the control group decreased compared with those on 3 d after surgery and the day before discharge(P<0.05),and that in the study group was lower than that in the control group(P<0.05).There was no significant difference in total BBA score between the two groups on 3 d after surgery(P>0.05).On the day before discharge,the total BBA score of both groups was improved compared with that on 3 d after surgery(P<0.05),and the total BBA score in the study group was higher than that in the control group(P<0.05).At 1 month after surgery,the total BBA scores in the control group were improved compared with those on 3 d after surgery and on the day before discharge(P<0.05),and the total BBA score in the study group was higher than that in the control group(P<0.05).Conclusion:Stepped simulated home-based rehabilitation training can effectively improve the function of hip joint and activities of daily living in patients undergoing hip replacement.