太极拳结合肌力组合训练对髋关节骨性关节炎患者康复效果影响的研究

Effect of Taijiquan combined with muscle strength training on rehabilitation of patients with hip osteoarthritis

目的探讨联合运动疗法对改善髋关节骨性关节炎患者的临床疗效以及与训练时间的关系。方法选取2013年9月至2015年9月期间西安红会医院、陕西省康复医院、西安医学院附属医院收治的64例髋关节骨性关节炎患者为研究对象,根据康复治疗过程中是否予以运动疗法将患者分为实验组和对照组各32例。观察组患者,在常规药物治疗的基础上采用家庭简化太极拳结合肌力组合训练治疗;对照组患者,仅采用常规药物治疗,不采用运动疗法治疗。两组患者治疗1、3、5、6、8个月后进行6 min步行测试(6MWT)、直立行走测试(TUG)、髋关节活动度测试(ROM)和WOMAC评分。结果①观察组患者治疗后3个月后6MWT、TUG较对照组改善明显,6个月趋于稳定,比较差异有统计学意义(P<0.05);②观察组患者治疗后3个月髋关节屈伸与外展ROM较对照组改善明显,6个月趋于稳定,比较差异有统计学意义(P<0.05);③观察组患者治疗后3个月后WOMAC功能评分较对照组改善明显,6个月趋于稳定,比较差异有统计学意义(P<0.05)。结论联合运动疗法对髋关节骨性关节炎患者的临床康复效果显著,值得在临床实践中加以推广应用。

Objective To discuss the clinical curative effect of combined exercise therapy in patients with hip osteoarthritis and the rela-tionship with the training time. Methods During September 2013 to September 2015,64 cases of hip osteoarthritis patients were selected as the research objects from Xi′an Red Cross Hospital,rehabilitation hospital of Shaanxi Province,Xi′an Medical College Affiliated Hospital. According to the rehabilitation process,the patients were divided into experimental group and control group,and 32 cases in each group. Patients in the obser-vation group accepted routine medicine therapy and family Simplified Tai Chi combined with muscle strength training therapy;patients in the con-trol group only treated with routine medicine therapy. Patients in the two groups accepted 6min walk test（6MWT）,upright walking test（TUG）, range of motion（ROM）and WOMAC score 1,3,5,6,8 months after the treatment. Results The improvement of 6MWT,TUG in the observa-tion group after 3 months treatment was more than the control group and these will be stable in 6 months. The difference was statistically significant （ P 〈 0. 05）;Hip joint flexion and abduction of ROM in the observation group after 3 months treatment is improved more than the control group and these will be stable in 6 months. The difference was statistically significant（ P 〈 0. 05）;The WOMAC score in the observation group after 3 months treatment is more improved than the control group and it become stable in the 6 month. The difference was statistically significant（ P 〈0. 05）. Conclusion Combined exercise therapy on the clinical rehabilitation of hip osteoarthritis patients is significant,and it is worthy to be popularized and applied in clinical practice.