功能康复优化方案在全髋关节置换术病人中的应用
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摘要
[目的]探讨功能康复优化方案在全髋关节置换术(THA)病人围术期中的应用效果。[方法]将80例THA病人随机分为观察组和对照组各40例,两组均进行常规护理,观察组在此基础上按THA功能锻炼方案进行锻炼。比较两组病人出院时和术后1个月、3个月、6个月Harris髋关节评分、生活质量及出院时并发症发生情况。[结果]术后1个月、3个月观察组髋关节功能评分为(61.64±8.37)分、(71.91±7.86)分,对照组髋关节功能评分为(56.83±6.51)分、(66.50±6.90)分,两组比较差异有统计学意义(P<0.05);术后3个月、6个月观察组生活质量评分为(610.91±80.01)分、(676.36±76.70)分,对照组生活质量评分为(546.67±71.29)分、(613.33±100.18)分,两组比较差异有统计学意义(P<0.05);观察组并发症发生率(5.0%)低于对照组(27.5%),两组比较差异有统计学意义(P<0.05)。[结论]THA功能康复优化方案可促进THA病人术后功能恢复,降低并发症发生率,改善病人总体生活质量。
引文
[1]刘宇,桑伟林,姜亚飞,等.直接前方入路与后外侧入路行人工全髋关节置换术对髋臼假体位置影响的比较研究[J].中国修复重建外科杂志,2017,31(7):790-793.
[2]CABILAN C J,HINES S,MUNDAY J.The effectiveness of prehabilitation or preoperative exercise for surgical patients:a systematic review[J].JBI Database System Rev Implement Rep,2015,13(1):146-187.
[3]常再平,王林,李龙,等.髋关节置换术对股骨头坏死患者髋关节Harris评分及运动功能的影响[J].现代生物医学进展,2017,17(11):2116-2118;2109.
[4]王珊,栾荣生,雷燕,等.生命质量8条简明量表中文版开发及其性能评价[J].现代预防医学,2007(6):1022-1023;1026.
[5]MAEDA Y,NAKAMURA N,SUGANO N.Improvement of activities of daily living after total hip arthroplasty using a computed tomography-based navigation system[J].J Artif Organs,2017,20(2):152-157.
[6]ZENG R,LIN J,WU S,et al.A randomized controlled trial:preoperative home-based combined Tai Chi and strength training(TCST)to improve balance and aerobic capacity in patients with total hip arthroplasty(THA)[J].Arch Gerontol Geriatr,2015,60(2):265-271.
[7]叶建芳,韩助兰.人工髋关节置换术后的阶段康复训练[J].护理与康复,2012,11(12):1171-1173.
[8]MITROVIC D,DAVIDOVIC M,ERCEG P,et al.The effectiveness of supplementary arm and upper body exercises following total hip arthroplasty for osteoarthritis in the elderly:a randomized controlled trial[J].Clin Rehabil,2017,31(7):881-890.
[9]VAN DIJK G M,VEENHOF C,SPREEUWENBERG P,et al.Prognosis of limitations in activities in osteoarthritis of the hip or knee:a 3-year cohort study[J].Arch Phys Med Rehabil,2010,91(1):58-66.
[10]郭淑娟,王春秀,蔡颂娟,等.早期离床活动对减少人工全髋关节置换术后并发症的效果[J].中国护理管理,2018,18(2):272-277.
[11]林俊,廖建玲,杨芳梅,等.术前康复训练指导对老年髋关节置换术患者康复效果的影响[J].护士进修杂志,2013,28(19):1759-1760.
[12]BULL M J,BOAZ L,MAADOOLIAT M,et al.Preparing family caregivers to recognize delirium symptoms in older adults after elective hip or knee arthroplasty[J].J Am Geriatr Soc,2017,65(1):e13-e17.
[2]CABILAN C J,HINES S,MUNDAY J.The effectiveness of prehabilitation or preoperative exercise for surgical patients:a systematic review[J].JBI Database System Rev Implement Rep,2015,13(1):146-187.
[3]常再平,王林,李龙,等.髋关节置换术对股骨头坏死患者髋关节Harris评分及运动功能的影响[J].现代生物医学进展,2017,17(11):2116-2118;2109.
[4]王珊,栾荣生,雷燕,等.生命质量8条简明量表中文版开发及其性能评价[J].现代预防医学,2007(6):1022-1023;1026.
[5]MAEDA Y,NAKAMURA N,SUGANO N.Improvement of activities of daily living after total hip arthroplasty using a computed tomography-based navigation system[J].J Artif Organs,2017,20(2):152-157.
[6]ZENG R,LIN J,WU S,et al.A randomized controlled trial:preoperative home-based combined Tai Chi and strength training(TCST)to improve balance and aerobic capacity in patients with total hip arthroplasty(THA)[J].Arch Gerontol Geriatr,2015,60(2):265-271.
[7]叶建芳,韩助兰.人工髋关节置换术后的阶段康复训练[J].护理与康复,2012,11(12):1171-1173.
[8]MITROVIC D,DAVIDOVIC M,ERCEG P,et al.The effectiveness of supplementary arm and upper body exercises following total hip arthroplasty for osteoarthritis in the elderly:a randomized controlled trial[J].Clin Rehabil,2017,31(7):881-890.
[9]VAN DIJK G M,VEENHOF C,SPREEUWENBERG P,et al.Prognosis of limitations in activities in osteoarthritis of the hip or knee:a 3-year cohort study[J].Arch Phys Med Rehabil,2010,91(1):58-66.
[10]郭淑娟,王春秀,蔡颂娟,等.早期离床活动对减少人工全髋关节置换术后并发症的效果[J].中国护理管理,2018,18(2):272-277.
[11]林俊,廖建玲,杨芳梅,等.术前康复训练指导对老年髋关节置换术患者康复效果的影响[J].护士进修杂志,2013,28(19):1759-1760.
[12]BULL M J,BOAZ L,MAADOOLIAT M,et al.Preparing family caregivers to recognize delirium symptoms in older adults after elective hip or knee arthroplasty[J].J Am Geriatr Soc,2017,65(1):e13-e17.