老年全髋关节置换术后实施跟踪康复干预的作用

The Effect of Follow-up Rehabilitation Intervention after Total Hip Arthroplasty in the Elderly

目的探讨老年全髋关节置换术后实施跟踪康复干预的效果。方法将医院收治的110例老年全髋关节置换术后患者按照护理方法不同分为对照组与观察组,每组各55例。采用Harris评分标准评价其髋关节功能,采用Barthel指数评定量表评价其日常生活能力,记录两组术后并发症。结果两组患者经干预1个月、3个月和6个月后Harris评分、Barthel指数评分明显高于出院时,且观察组1个月和3个月、6个月后Harris评分和Barthel指数评分,P<0.05。观察组术后无关节假体脱落和下肢深静脉血栓发生,并发症率明显低于对照组,P<0.05。结论跟踪康复干预应用于老年全髋关节置换术后护理中效果显著,可减少术后并发症,改善患者髋关节功能,提高日常生活能力。

OBJECTIVE To investigate the effect of follow-up rehabilitation intervention after total hip arthroplasty in the elderly.METHODS 110 elderly patients undergoing total hip arthroplasty were grouped into control group and observation group according to different nursing methods, 55 cases in each group. The control group was given routine guidance and rehabilitation training after surgery; the observation group was followed up on the basis of nursing care in the control group. Hip function was used to evaluate the hip function, Barthel index rating scale was used to evaluate the ability of daily living, and postoperative complications were recorded.RESULTS The Harris score and Barthel index scores of the two groups were significantly higher than those at discharge after one month, 3 months and 6 months,of intervention, and the Harris score and Barthel index scores were observed in the observation group after one month, 3 months and 6 months. P〈0.05. In the observation group, there was no joint prosthesis detachment and deep vein thrombosis of the lower extremities. The complication rate was significantly lower in the observation group than in the control group（P〈0.05）. CONCLUSION Follow-up rehabilitation interventions were effective in the care of elderly patients undergoing total hip arthroplasty, which can reduce postoperative complications, improve hip joint function and improve their daily activities.