渐进式肌力康复训练在老年全髋关节置换术后患者康复护理中的应用

Application of progressive rehabilitation training of muscle strength to rehabilitation nursing of the elderly patients after total hip replacement

目的:探讨早期规范的渐进式肌力康复训练在老年全髋关节置换术后患者康复护理中的应用效果。方法:将80例患者随机分为观察组和对照组各40例。手术前后给予两组患者常规康复护理,观察组在此基础上增加术后早期渐进式肌力康复训练。比较两组术后康复效果。结果:与对照组比较,观察组患者术后扶助行器开始下床活动时间更早(P<0.01),平均住院天数更短(P<0.01),并发症发生率更低(P<0.05)。结论:早期规范的渐进式肌力康复训练可减少老年全髋关节置换术患者的并发症,促进其早日下床活动,提高患者自理能力和生活质量,值得临床推广应用。

Objective ： To investigate the effect of early and standard progressive rehabilitation training of muscle strength in the rehabili- tation nursing of the elderly patients after total hip replacement. Methods ：80 patients were randomly divided into the observation group and the control group （40 cases in each group ）. The patients in both groups were given conventional rehabilitation nursing before and after op- eration and extra early progressive rehabilitation training of muscle strength were provided for the patients after operation in the observation group. The postoperative rehabilitation effect was compared between the two groups. Results ： Compared with the control group, the time of postoperative ambulation with walker was earlier in the observation group （ P 〈 0.01 ） ; the mean length of hospital stay was shorter in the observation group （ P 〈 0.01 ） and the incidence of complications was lower in the observation group （ P 〈 0.05 ）. Conclusions ： The early and standard progressive rehabilitation training of muscle strength can reduce the complications, promote early ambulation and improve self - care ability and quality of life of the eldrely patients after total hip replacement.