功能锻炼对THA患者术后早期行走功能的影响

Effect of Functional Exercise on Early Postoperative Walking Function in Patients with Total Hip Arthroplasty

目的探讨功能锻炼对全髋关节置换术(THA)患者术后早期行走功能的影响。方法将120例拟行THA的老年骨关节炎患者随机分为观察组和对照组各60例,对照组接受常规治疗和护理,观察组在此基础上实施为期3个月包括术前、术后功能锻炼在内的围手术期锻炼计划。比较两组患者干预前后的25m步行测试步态参数和6min最大行走距离。结果术后3个月观察组的平均步频、步长、步速和平均最大行走距离明显高于对照组,差异有统计学意义,均P<0.01(t=11.761,2.766,4.595,13.201)。结论围手术期功能锻炼计划可显著改善老年骨关节炎患者THA术后的行走功能。

Objective To investigate the effect of perioperative functional exercise on early ambulatory function after total hip arthroplasty （THA）. Methods A total of 120 elderly osteoarthritis patients scheduled for THA were randomly assigned to the control and observation group, each consisting of 60 cases. Both groups received routine treatment and nursing care, and the integrated nursing interventions including pre-and postoperative functional exercise for 3 months were added to the observation group. A comparison was made between the two groups in the 25-meter walking test gait parameters and the longest distance within 6 minutes before intervention and 3 months after intervention. Results The average stride frequency, step length, walking speed and the average maximum walking distance of the observation group were significantly higher 3 months after operation than those of the control group, with a significant difference between the two groups （t=11.761, 2.766,4.595,13.201 ,respectively,P〈0.01 ）. Conclusion The perioperative functional exercise program can consierably improve the early ambulatory function after THA in elderly osteoarthritis patients.