核心肌群训练在高龄患者股骨颈骨折关节置换术后的应用效果

The Application Effect of Core Muscle Training in Elderly Patients after Femoral Neck Fracture and Joint Replacement

目的观察核心肌群训练在高龄患者股骨颈骨折关节置换术后的应用效果。方法选取2018年8月—2019年8月该院收治的60例股骨中下段骨折患者,按随机数字表法分为两组,每组30例。两组患者均行髋关节置换术,术后,对照组采用常规康复训练,实验组在对照组基础上增加核心肌群训练。对比两组患者术后并发症发生情况、生活能力及髋关节功能。结果在训练前及训练1周后,比较两组的Harris髋关节功能评分(HHS)、Charnley髋关节功能评分(CHS)及改良Barthel指数(MBI)评分,组间差异无统计学意义(P>0.05)。训练1个月后,实验组的HHS评分、CHS评分及MBI评分均高于对照组,组间差异有统计学意义(P<0.05)。实验组的并发症发生率为26.67%,低于对照组的63.33%,差异有统计学意义(P<0.05)。结论高龄股骨颈骨折髋关节置换术后患者进行核心肌群训练的效果显著,可改善其关节功能及日常活动能力,降低并发症发生率。

Objective To observe the application effect of core muscle training in elderly patients after femoral neck fracture joint replacement.Methods A total of 60 patients with middle and lower femoral fractures admitted to the hospital from August 2018 to August 2019 were selected and divided into two groups according to the random number table method,with 30 cases in each group.Both groups of patients underwent hip replacement surgery.After the operation,the control group received conventional rehabilitation training,and the experimental group increased core muscle training on the basis of the control group.The postoperative complications,living capacity and hip joint function were compared between the groups.Results Before training and 1 week after training,the Harris hip function score(HHS),Charnley hip joint function score(CHS)and modified Barthel index(MBI)score were compared between the groups,and there were no significant differences between the groups(P>0.05).After 1 month of training,the HHS score,CHS score and MBI score of the experimental group were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).The complication rate of the experimental group was 26.67%,which was lower than 63.33%of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of core muscle training for patients after femoral neck fracture and hip replacement is significant,which can improve their joint function and daily activities,and reduce the incidence of complications.