全髋关节置换术后早期强化家庭康复训练的功能结局分析

Clinical efficacy analysis of early intensive home-based rehabilitation training after total hip arthroplasty

目的:探索全髋关节置换术后早期强化家庭康复训练的可行性和临床疗效。方法:将我院117例拟行髋关节置换术的患者随机分为对照组(57例)和训练组(60例)。对照组给予常规康复训练,训练组在此基础上给予家庭强化康复训练。2组患者于干预前、干预后的第1、2、3个月采用Harris评分来评价患者的髋关节功能,并记录两组患者的术后并发症与依从性。结果:干预后第1、2、3个月训练组Harris评分均高于对照组,差异有显著性(P<0.05);干预后3个月2组患者的并发症比较,对照组的总并发症数(包括疼痛、脱位、下肢深静脉血栓、关节僵硬)发生率为26.3%,而训练组仅为8.3%;在患者依从性上,训练组高于对照组,差异有显著性意义(P<0.05)。结论:早期强化家庭康复计划对髋关节置换术后患者在改善疼痛和功能能力、减少并发症等方面具有显著疗效。早期强化家庭康复训练能提高患者的依从性,具有积极作用。

Objective:To explore the feasibility and clinical effect of early intensive home-based rehabilitation training after total hip arthroplasty.Method:One hundred and seventeen patients intending to perform hip arthroplasty were randomly divided into control group(57 cases)and training group(60 cases).The control group was given standard rehabilitation training,and the training group was given home-based intensive rehabilitation training.The included subjects were evaluated by Harris score before intervention and at the first,second and third month after intervention.The postoperative complications and compliance of the two groups were also recorded.Result:After the intervention,the Harris score of the training group was higher than that of the control group at the first,second and third month after intervention,which exhibited significant difference(P<0.05).After the intervention,the incidence of total complications(including pain,dislocation,lower extremity deep venous thrombosis and joint stiffness)in the control group was 26.3%,while that in the training group was only 8.3%.In terms of patient compliance,the training group was significantly higher than that in the control group(P<0.05).Conclusion:Early intensive home-based rehabilitation program has a significant effect to improve pain and functional ability and reduce complications after hip arthroplasty.Early intensive home-based rehabilitation training plays a positive role to improve the patient compliance.