早期康复护理对股骨头置换术后患者患肢功能恢复的影响

Effect of early rehabilitation intervention on postoperative functional rehabilitation of artificial femoral head replacement

目的探讨早期康复护理对人工股骨头置换术后患者患肢功能恢复的促进效果，为临床实践提供依据。方法将64例行股骨头置换术的患者随机分为早期康复训练组和对照组各32例，对照组进行常规康复锻炼，早期康复训练组术后3h即详细指导患者开始进行系统的功能锻炼。术后2周统计2组并发症发生率，术后6个月应用Harris功能评分标准对髋关节功能进行评分，比较2组之间的功能康复效果。结果术后2周早期康复训练组并发症发生率明显低于对照组，术后6个月髋关节功能Harris评分比较，早期康复训练组优于对照组。结论术后早期康复护理可降低股骨头置换术后并发症发生率，促进患肢功能恢复。

Objective To explore the effect of early rehabilitative intervention on postoperative functional rehabilitation of artificial femoral head replacement, to provide the basis for clinical practice. Methods Sixty-four patients received artificial femoral head replacement were divided randomly into the rehabilitative group and the control group with 32 patients in each group. The patients in the control group received routine rehabilitation exercises, while the rehabilitative group received rehabilitative intervention after 3 hours of operation. The incidence of complications was compared after 2 weeks, and Harris scores were compared after 6 months. Results The incidence of complications in the rehabilitative group was significantly lower than the control group. Harris scores of the rehabilitative group were significantly better than the control group. Conclusions Early rehabilitative intervention can decrease the incidence of complication and accelerate the functional recovery of affected limbs after artificial head replacement.