系统康复锻炼在人工髋关节置换术后患者中的应用

Application of systematic rehabilitation exercise in patients after artificial hip replacement

目的：研究人工髋关节置换术（THR）后实施系统康复锻炼的临床效果。方法选择2006年3月～2009年3月在本院实施THR的133例患者，将其随机分为两组，对照组63例患者术后实施常规的康复措施，观察组70例患者术后在常规康复措施的基础上由正规医生指导进行系统康复锻炼，所有患者均接受5年随访，比较两组的Harris评分、屈髋角度、肌力及疼痛发生率。结果术后1、5年，观察组Harris评分明显高于对照组，差异有统计学意义（P〈0.05）。术后5年，观察组屈髋角度≥90°及臀肌肌力≥4级的发生率高于对照组（P〈0.05），疼痛发生率低于对照组，差异有统计学意义（P〈0.05）。结论对实施THR患者进行正确的康复训练不仅能加快髋关节功能的恢复，还能降低相关并发症的发生率，值得临床推广应用。

Objective To study clinical effect of systematic rehabilitation exercise after artificial hip replacement（THR）. Methods 133 patients after THR from March 2006 to March 2009 in our hospital were selected and randomly divided into two groups.Conventional rehabilitation measure was used in control group （63 cases）,on the basis of conventional rehabilitation measure,systematic rehabilitation program by regular guidance of doctor was applied in observation group （70 cases）.All patients were treated with 5-year follow-up,Harris score,hip flexion angle,muscle and incidence rate of pain in two groups was compared respectively. Results After surgery of 1,5-year,Harris score in observation group was significantly higher than that in control group respectively,with statistical difference（P〈0.05）.After surgery of 5 years,in-cidence rate of hip flexor angle more than 90° and gluteus muscle strength more than grade 4 in observation group was higher than that in control group respectively（P〈0.05）,incidence rate of pain in observation group was lower than that in control group,with statistical difference （P〈0.05）. Conclusion Proper rehabilitation exercise in patient after artificial hip replacement can not only speed up the recovery of hip function,but also reduce the incidence rate of related complication,is worthy of clinical promotion and application.