快速康复干预在SuperPATH微创全髋关节置换术后的应用研究

Research on application of fast track intervention after Super PATH minimally invasive total hip arthroplasty

目的观察快速康复干预在Super PATH微创全髋关节置换术后应用的效果。方法选择Super PATH微创全髋关节置换术患者100例,随机分为对照组和观察组各50例。观察组术后采用快速康复干预方案,对照组实施传统早期康复干预方案。比较两组患者日常生活活动能力、平衡功能、平均住院天数及髋关节功能。结果观察组术后7 d、14 d及1月日常生活活动能力高于对照组(P<0.01),术后2周平衡功能高于对照组(P<0.01);术后1个月髋关节功能评分高于对照组(P<0.01);观察组平均住院天数低于对照组(P<0.01);两组患者均无人工关节脱位发生。结论 Super PATH微创全髋关节置换术结合早期快速康复干预能改善患者髋关节功能,提高术后早期日常生活活动能力。

Objective To observe the effect of fast track intervention after Super PATH minimally invasive total hip arthroplasty. Method Divide 100 patients after Super PATH minimally invasive total hip arthroplasty into observation group（n=50） and control group（n=50） randomly. Patients in observation group receive fast track intervention. Patients in control group receive routine early rehabilitation intervention. Compare activities of daily living,balance function,average days of hospitalization and hip joint function between patients of two groups. Result Activities of daily living is better in observation group than in control group 7 days,14 days and 1 month after operation（ P0.01）. Balance function is better in observation group than in control group 2 weeks after operation（ P0.01）. Hip joint function is better in observation group than in control group 1 month after operation（ P0.01）. Average days of hospitalization is shorter in observation group than in control group（ P0.01）. There is no dislocation of artificial hip joint in either two groups. Conclusion Super PATH minimally invasive total hip arthroplasty combined with early fast track intervention can improve patients＇ hip joint function and their postoperative activities of daily living in early stage.