| 孙建梅,杨国君,杨勇.综合康复干预措施对提高髋关节置换术后患者功能水平的效果分析.骨科,2015,6(2): 94-97. |
| 综合康复干预措施对提高髋关节置换术后患者功能水平的效果分析 |
| Effectiveness of comprehensive rehabilitation intervention strategy to improve the function level of the patients after total hip replacement |
| 投稿时间：2014-10-08 |
| DOI：10.3969/j.issn.1674-8573.2015.02.010 |
| 中文关键词: 关节成形术, 置换, 髋 康复 综合干预 |
| 英文关键词: Arthroplasty, replacement, hip Rehabilitation Comprehensive intervention |
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| 中文摘要: |
| 目的 探讨综合康复干预措施对全髋关节置换术（total hip replace，THR）后患者功能康复的作用。方法 将符合纳入标准的人工THR患者70例，等量随机分为两组，即综合康复组（35例）和常规康复组（35例），常规康复组执行骨科常规治疗及护理，综合康复组在骨科临床治疗及躯体照护基础上，以个体化原则设计康复干预计划，突出全程化功能锻炼指导的观念，重视术前康复程序的实施并将干预措施向院外延伸；所有患者随访均大于6个月，于出院时、术后3、6个月不同时间点，采用Harris髋关节功能评分量表及Barthel日常活动能力指数量表评价两组患者相关功能水平。结果 综合康复组在术后3、6个月两个时间点的Harris及Barthel量表评分均优于常规康复组（均P<0.05）。结论 综合康复干预措施可有效促进患者髋关节的功能恢复、改善患者的日常活动能力，对提高THR后患者远期预后具有重要价值。 |
| 英文摘要: |
| Objective To explore the effectiveness of comprehensive rehabilitation intervention strategy (CRIS) for the function improvement of the patients after total hip replacement. Methods Seventy patients subject to total hip replacement who met our research standards were randomly divided into two groups: experimental group (35 cases) and control group (35 cases). The latter were given routine therapy and nursing, and the former were given comprehensive rehabilitation intervention beside the basic treatments. The comprehensive rehabilitation intervention not only emphasized individuality but also the functional exercises were done throughout the whole course, moreover, strengthening the preoperative rehabilitation program and extending the intervention strategy to the discharged patients. The Harris hip score and Barthel index of activities of daily life score were applied to assess the related functions at discharge, 3rd month and 6th month postoperation. All patients were followed up over 6 months. Results The Harris's scores and Barthel's scores were significantly improved in experimental group that in control group at 3th and 6th month postoperation (P<0.05). Conclusion CRIS can effectively promote the functional recovery of the hip joint and improve the ability of daily living. It also has an important value to improve the long-term prognosis of patients subject to total hip replacement. |
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