术后综合康复训练对非骨水泥型全髋关节置换疗效的影响

A prospective cohort study on the effect of comprehensive rehabilitation training after cementless total hip replacement

目的:探讨非骨水泥型人工全髋关节置换术后综合康复训练对患者日常生活质量及髋关节手术患者评分(Harris评分)的影响。方法:将非骨水泥型人工全髋关节置换术后的患者按年龄、性别因素配对,分为康复组和对照组各25例。康复组予以健康宣教和术后共6周的早期综合康复训练,对照组以常规指导为主。结果:3个月后随访时,两组的改良Barthel指数评分和Harris评分均较术前改善(P<0.01),而经过综合康复训练,康复组患者的两项评分均优于对照组(P<0.01)。结论:非骨水泥型人工全髋关节置换术后,正确的临床指导有益于患者的康复,而早期进行综合康复训练能更有效提高下肢功能及恢复生活自理能力。

Objective： To investigate the effect of comprehensive rehabilitation training on the daily life quality of patients and their Harris after the cementless total hip replacement（THR）. Method： Fifty THR cases were divided into the rehabilitation group and control group with 25 cases matched with age and gender each. In rehabilitation group, health education and no less than 6 weeks of comprehensive rehabilitation were introduced while the control group only received the routine guidance. Result： The modified index of Barthel and the scores of Harris in two groups had been improved better than those before operation. But the daily life quality and the patient Harris in rehabilitation group were significantly improved than those of the control group （P〈0.05）. Conclusion： After cementless total hip arthroplasty, the correct clinical guidance is of benefit to the patients rehabilitation. And the early comprehensive rehabilitation training may well improve the lower extremity function and restore their life self-care ability.