肌群强化训练对髋关节置换术后患者的临床作用及对患者髋关节功能、日常生活能力的影响

The clinical effect of muscle group strengthening training on hip joint function and daily living ability of patients after hip joint replacement

目的:探究放松训练联合肌群强化训练对髋关节置换术后患者髋关节功能恢复的影响。方法:选取110例髋关节置换术后患者进行研究,采用抽签的方式将患者分为两组,对照组给予常规量化康复运动训练,观察组给予放松训练联合肌群强化训练。对比两组的髋关节功能、日常生活活动能力、疼痛程度、并发症情况。结果:髋关节功能在两组训练前比较没有统计学意义(P>0.05),在对照组训练1周、2周、3个月后髋关节功能各指标评分提高,对比观察组观察组提高更明显,比较有统计学意义(P<0.05);日常生活能力结果显示,在训练前比较没有统计学意义(P>0.05),在两组训练后MBI评分、步速及步长水平提高,观察组较对照组提高明显,比较有统计学意义(P<0.05);两组的疼痛程度在训练前比较没有统计学意义(P>0.05),训练后对照组疼痛程度分级下降,且观察组更低于对照组,比较有统计学意义(P<0.05);两组的并发症发生率比较没有统计学意义(P>0.05)。结论:放松训练联合肌群强化训练对髋关节置换术后患者康复有显著效果,可以促进髋关节功能各项评分、日常生活能力水平的提高,同时有效降低术后患者的疼痛程度、并发症的产生,对髋关节术后患者康复有重要意义。

Objective:To explore the effect of relaxation training combined with muscle group strengthening training on the recovery of hip function after hip replacement.Methods:A total of 110 patients after hip replacement were selected for this study.The patients were divided into two groups by lottery.The control group was given routine quantitative rehabilitation exercise training,and the observation group was given relaxation training combined with muscle group strengthening training.Hip function,activities of daily living,pain degree and complications were compared between the two groups.Results:There was no statistical significance in hip function between the two groups before training(P>0.05),but the scores of hip function indexes in the control group were improved after 1 week,2weeks and 3 months of training,and the improvement was more obvious in the observation group,and the comparison was statistically significant(P<0.05).The results of daily living ability showed that there was no statistical significance before the training(P>0.05).After the training,the MBI score,walking speed and step length of the two groups were improved,and the observation group was significantly improved compared with the control group,with statistical significance(P<0.05).The pain degree of the two groups was not statistically significant before training(P>0.05),but the pain degree of the control group decreased after training,and the observation group was lower than the control group,the comparison was statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Relaxation training combined with muscular group strengthening training has significant effects on the rehabilitation of patients after hip replacement,which can promote the improvement of hip function scores and daily living ability,and effectively reduce the degree of postoperative pain and complications of patients,which is of great significance for the rehabilitation of patients after hip replacement.