以日常生活活动目标为导向的康复训练对髋关节置换术后功能恢复的影响

Effect of activities of daily living goal oriented rehabilitation training on functional recovery after hip replacement

目的探讨以日常生活活动目标为导向的康复训练对人工髋关节置换患者功能恢复的影响。方法将86例人工髋关节置换术患者按随机数字表分为对照组和观察组,每组43例。对照组按照常规实施康复训练,观察组采取以日常生活活动目标为导向的康复训练,比较两组的康复效果。结果 观察组术后7d、术后14d、术后1个月改良Barthel指数评分高于对照组,比较差异有统计学意义,术后3个月改良Barthel指数评分与对照组比较差异无统计学意义;观察组术后2周、术后1个月6min步行距离大于对照组,比较差异有统计学意义,术后3个月6min步行距离与对照组比较差异无统计学意义;观察组患者术后1个月、3个月髋关节功能Harris评分高于对照组,比较差异有统计学意义。结论以日常生活活动目标为导向的康复训练能促进人工髋关节置换术后患者早期髋关节功能的恢复。

Objective To study the effect of activities of daily living goal oriented rehabilitation training on functional recovery for patients after artificial hip replacement. Method Divide 86 patients after artificial hip replacement into observation group (n=43) and control group (n=43) by random number table. Patients in control group receive routine rehabilitation training. Patients in observation group receive activities of daily living goal oriented rehabilitation training. Compare the rehabilitation effect between two groups. Result Score on modified Barthel index is higher in observation group than in control group 7d, 14d and 1 month after surgery. The difference is significant. There is no significant difference on modified Barthel index between two groups 3 months after surgery. 6-minute walking distance is longer in observation group than in control group 2 weeks and 1 month after surgery. The difference is significant. There is no significant difference on 6-minute walking distance between two groups 3 months after surgery. Harris score of hip joint function is higher in observation group than in control group 1 month and 3 months after surgery. The difference is significant. Conclusion Activities of daily living goal oriented rehabilitation training can improve recovery of early hip joint function for patients after artificial hip replacement.