早期康复治疗对股骨头坏死保髋术后患者髋关节功能及日常生活能力的影响

Influence of Early Rehabilitation on Hip Joint Function and Activity in Daily Life of Patients with Avascular Necrosis of Femoral Head After Hip-salvage Operation

【目的】探讨早期康复治疗对股骨头坏死保髋术后患者髋关节功能及日常生活能力的影响。【方法】采用简单随机法将60例单髋股骨头坏死患者随机分为康复治疗组(30例)与对照组(30例)。两组采用相同的保髋手术治疗,康复治疗组术前即进行康复指导与训练,术后进行系统康复治疗,对照组则由患者自行恢复,无系统康复治疗。比较两组患者治疗后手术侧髋主动活动范围(AROM)、疼痛程度的视觉模糊评分(VAS)和日常生活能力的功能独立性评定(FIM)。【结果】康复治疗组治疗后AROM和疼痛程度的改善均优于对照组(P<0．01);在FIM评定中,患者生活自理、转移、运动3项内容的计分高于对照组(P<0．01)。【结论】早期康复治疗能提高股骨头坏死保髋术后患者的髋关节功能及日常生活能力。

[ Objective] To observe the influence of early rehabilitation on hip joint function and activity in daily life （ADL） of avascular necrosis of femoral head （ANFH） after hip-salvage operation. [ Methods ] Sixty patients with ANFH were equally randomized into two groups. Group A and group B received hip-salvage operation, and group A also received systematic rehabilitation training and rehabilitation treatment. Group B did not receive the additional training and treatment. After treatment, active range of motion （AROM）, pain degree, visual analog scale （VAS） and functional independence measure （FIM） in the affected hip were compared between the two groups. [ Results] AROM was improved, pain was relieved, the scores of FIM such as ADL, metastasis and movement were increased in group A as compared with group B （ P 〈 0.01 ）. [ Conclusion ] Early rehabilitation can improve the hip joint function and activity in daily life of ANFH after hip-salvage operation.