人工全髋关节置换早期康复训练效果观察

Effect of early rehabilitation after total hip arthroplasty

目的:尽早康复训练,以帮助患者改善肌肉力量,耐力以及功能,提高生活自理能力,改善生活质量。方法:随机分为对照组和实验组,对实验组进行康复训练,有计划分阶段进行,健康教育、术后麻醉清醒后可进行康复训练,出院指导是以口头、书面、电话等联系方式落实三个阶段的康复训练。结果:实验组的疼痛程度明显低于对照组,实验组的关节活动度明显大于对照组,两组间比较有显著性差异,p<0.05,实验组护理干预方法明显优于对照组。结论:采用康复训练程序为患者进行患肢功能锻炼,明显的改善患者下肢功能,有较减轻患者疼痛。

Objective： To conduct early rehabilitation after total hip arthroplasty to improve muscular capability, tolerance and function to promote living quality. Methods： The patients were divided into 2 groups. The patients in the experimental group were guided to have early rehabilitation after the operation while those in the control group were not. Results： The degree of pain was significantly slighter in the experimental group than in the control （P〈0.05）. Meanwhile, the joint functional index was markedly higher in the experimental group than in the control （P〈0.05）. The effect of nursing intervention was better in the experimental group than in the control. Conclusion： Early rehabilitation after total hip arthroplasty is good for improving function of lower extremities to promote living quality.