早期康复训练对成人髋关节发育不良致股骨头坏死全髋关节置换术后功能恢复的影响

Effect of early rehabilitation exercise on total hip arthroplasty on patients with femoral head necrosis due to developmental dysplasia of the hip

目的 探讨早期康复训练对成人髋关节发育不良致股骨头坏死全髋关节置换术后功能恢复的影响.方法 成人髋关节发育不良致股骨头坏死全髋关节置换术后患者18例,22髋 随机分为早期康复训练组（A组：12例,14髋）和对照组（B组：6例,8髋）.患者髋关节功能进行：①Barthel 评分评定患者日常生活能力 ②采用简式Harris评分法评定患者关节运动功能情况.所有患者手术前和术后分别3个月、6个月及12个月时进行评定.结果 两组手术后各时间段的Barthel指数分别为（80.75±11.45）分、（66.73±14.04）分,简式Harris评分分别为（92.64±14.07）分、（70.03±15.88）分,比较差异有显著性（P＜0.05）.结论 早期康复训练能提高成人髋关节发育不良致股骨头坏死全髋关节置换术后患者的功能恢复.

Objective To evaluate the effect of early rehabilitation exercise on total hip arthroplasty on patients with femoral head necrosis due to developmental dysplasia. Methods After total hip arthroplasty on patients with femoral head necrosis due to developmental dysplasia （18 cases and 22 hip） were randomly divided into early rehabilitation exercise group（group A） and control group（group B）.Before operation and after operation of 2,6,12month the Harris and Barthel indicate were evaluated in two group. Results Before operation the Harris and Barthel indicate was no different in the two group and after operation, Group A Harris and Barthel indicate was better than those of the control group, the differentiation was significantly（P〈0.05）.Conclusion Early rehabilitation exercise can improving total hip arthroplasty of patients with femoral head necrosis due to developmental dysplasia.