广州医科大学学报

目的:研究早期规范化康复治疗在全髋关节置换术中的应用价值。方法:选取2010年1月至2015年4月在阳江市公共卫生医院行初次全髋关节置换术的252例患者作为研究对象,随机分为研究组与对照组,每组各126例,研究组采用早期规范化康复治疗,对照组采用常规康复治疗和自行锻炼。采用Harris评分标准对两组术后1、2周,1、3、6、12个月的髋关节功能康复情况进行评估,观察术后并发症发生情况,统计患者治愈率、康复知识掌握率及满意度。结果:两组患者术后1、2周Harris评分比较,差异无统计学意义(P>0.05);研究组术后1、3、6、12个月Harris评分,患者治愈率、康复知识掌握优良率及满意度明显高于对照组(P<0.05);研究组术后并发症发生率明显低于对照组(P<0.05)。结论:对全髋关节置换术患者进行早期规范化康复治疗能促进髋关节功能的早期康复,降低术后并发症,改善患者的生活质量,值得临床推广应用。

Objective: To evaluate the value of early standardized rehabilitation in patients after total hip joint replacement surgery. Methods: Included in this study were 252 patients who underwent total hip joint replacement surgery at the Yangjiang Public Health Hospital between January 2010 and April 2015. The subjects were randomly divided into study group and control group( n = 126 each). The study group received early standardized rehabilitation,whereas the control group received conventional rehabilitation and self-managed exercise. The outcomes of hip joint function rehabilitation were evaluated at weeks 1 and 2,and at 1,3,6,and12 months postoperatively based on Harris score, and were compared between groups. Postoperative complications,awareness about rehabilitation and patient satisfaction were also recorded. Results: The Harris score did not differ between groups in postoperative week 1 or 2( P > 0. 05). At 1,3,6,and 12 months after surgery,the study group showed significantly higher Harris score,recovery rate,good awareness of rehabilitation and patient satisfaction compared with the control group( P < 0. 05). The rate of postoperative complication was significantly lower in the study group than in the control group( P < 0. 05). Conclusion: For patients after total hip joint replacement,early standardized rehabilitation may can promote early recovery of hip joint function,reduce postoperative complications and improve patient quality of life,and therefore is worthwhile for widespread use in clinical practice.