等速-平衡-减重综合康复训练对老年人髋关节置换术后的疗效分析

Effect of Isokinetic,Balance,Weight-support Training on Senile Patients after Total Hip Arthroplasty

目的评价等速-平衡-减重综合康复训练对老年人髋关节置换术后患者的短期疗效。方法 50例髋关节置换患者分为康复A组和康复B组,每组25例。康复A组行等速-平衡-减重综合康复训练,康复B组行常规康复训练。于康复前,康复4周、8周、12周行Harris评分及生活质量满意度调查。结果康复8周后,两组Harris评分均较入院时改善(P<0.05),康复A组在康复8周及12周时Harris评分较康复B组改善更明显(P<0.05)。康复12周髋关节功能优良率康复A组优于康复B组(P<0.05)。生活质量满意度调查:两组患者于康复4周、8周、12周时较入院时明显提高(P<0.01),12周时康复A组优于康复B组(P<0.05)。结论等速-平衡-减重综合康复训练可促进髋关节的功能恢复,提高患者生活质量。

Objective To evaluate the effect of the comprehensive rehabilitation training,including multi-joint isokinetic muscle strength,balance,and weight-support training,on the senile patients after total hip arthroplasty.Methods50 patients after total hip arthroplasty were divided into group A（n=25）and group B（n=25）.The group A received the comprehensive rehabilitation training combined with the 3 systems,while the group B received the routine rehabilitation training.They were assessed with the Harris scale and the life satisfaction before and 4,8 and 12 weeks after rehabilitation.ResultsCompared with that before rehabilitation,the Harris score of all the patients improved 8 weeks after rehabilitation（P0.05）,while it improved more in the group A than in the group B（P0.05）.The incidence of hip joint recovery was more in the group A than in the group B as well（P0.05）.The life satisfaction improved in both groups 4 weeks after rehabilitation（P0.01）,and it was more in the group A than in the group B 12 weeks after training（P0.05）.ConclusionThe rehabilitation combined with isokinetic,balance,weight-support training can promote the functional recovery after total hip arthroplasty.