康复训练在人工髋关节置换术后的应用

Application of rehabilitated exercise for the patients after replacement of artificial hip joint

目的:探讨康复训练对人工髋关节置换术后患者的影响。方法:将120例骨水泥型人工髋关节置换术后患者随机分为康复组65例与对照组55例。对照组给予常规护理,康复组在常规护理基础上采用系统康复训练。于术后1周、1个月、3个月、6个月对两组患者功能恢复情况采用Harris髋关节评分进行评定,并观察有无脱位和深静脉血栓形成。结果:康复组术后3个月、6个月髋关节Harris评分与对照组比较有显著性差异(P<0.05)。康复组脱位和深静脉血栓形成发生情况与对照组比较有极显著性差异(P<0.01)。结论:对人工髋关节置换术后患者进行系统康复训练,有利于髋关节早日恢复良好状态,降低并发症发生率。

Objective： To explore the effect of rehabilitated exercise on the patients after replacement of artificial hip joint. Methods ： One hundred and twenty patients treated with replacement of artificial hip joint with cement bone were randomly divided into rehabilitation group （ n = 65 ） and control group （ n = 55 ）. The patients in control group were given routine nursing care and the patients in rehabilitation group were given additional systematic rehabilitated exercise based on routine nursing care. The evaluation was made on the functional rehabilitation of patients in two groups by Harris scale respectively in one week, one month, 3 months and 6 months after operation, observing the incidence of dislocation and DVT. Resuhs： The significant differences were found in the comparison of the scores of hip joint in 3 months and 6 months between the two groups （ P 〈 0. 05 ） , and there were also significant differences in the comparison of dislocation and DVT between the two groups （P 〈0. 01 ）. Conclusion： Systematic rehabilitated exercise is helpful for restoration of hip joint of patients earlier and can decrease the incidence of complication.