早期规范化康复训练对老年全髋关节置换术患者日常生活活动的影响  

The impact of early standardized rehabilitation training for activities of daily living of elderly patients after hip replacement

作　　者：谢燕崧[1] 陈艺[1] 宁军[1] 李之琛[1] 

机构地区：[1]广州医学院第一附属医院骨科,510120

出　　处：《中华关节外科杂志（电子版）》2012年第3期44-46,共3页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：目的探讨早期规范化康复训练对老年全髋关节置换(THA)患者术后日常生活活动(ADL)的影响。方法本组60例65～80岁行THA的老年患者随机均分为对照组和观察组,各30例。对照组按骨科常规护理,观察组实施早期规范化康复训练。在术前及术后第3周对两组患者采用Harris髋关节功能评分评价髋关节功能,并采用Barthel指数评定ADL。结果观察组术后第3周Harris评分比术前提高了(49.13±11.91)分(P<0.05);观察组术后第3周Barthel指数评分比术前提高了(37.16±11.19)分(P<0.01)。结论早期规范化康复训练能有效提THA患者术后短期的ADL,提高出院后的功能锻炼效果。Objective To investigate the impact of early standardized rehabilitation training for the activities of daily living （ADL） of elderly patients after hip replacement. Methods 60 patients （65 - 80 years of age） undergone hip arthroplasty were randomly divided into observation group and control gwoup （ n = 30 ）. Patients in observation group received standardized early rehabilitation training ; while patients in control group were accorded conventional orthopedic care. Harris hip joint function score was applied to evaluate hip thnction before and three weeks after operation. The ADL of patients were estimated by Barthel index score. Results For the observation group, three weeks alter operation the Harris hip scores increased by （49. 13 ±11.91 ） pionts （P 〈 0. 05 ） , and the Barthel index scores increased by （37. 16 ±11.19） pionts （ P 〈 0. 01 ）. Conclusions For the patients with artificial hip joint replacement, early standardized rehabilitation training can improve the ADL in short-term postoperatively, thus it may also improve the effects of functional exercises in the post-discharge.

关 键 词：关节成形术 置换 髋 康复 日常生活活动 

分 类 号：R473.6[医药卫生—护理学]