普拉提康复计划在微创小切口全髋关节置换手术前后的应用  

Application of Pilates rehabilitation plan in patients undergoing small incision total hip arthroplasty

作　　者：李莉[1] 孙俊英[2] 胡凤娟[1] 徐红星[1] 王维[1] 

机构地区：[1]苏州大学附属第一医院康复医学科,江苏省215006 [2]苏州大学附属第一医院骨科,江苏省215006

出　　处：《江苏医药》2015年第3期308-310,共3页Jiangsu Medical Journal

摘　　要：目的总结普拉提康复计划(PME)对全髋关节置换(THA)术后康复的效果。方法行小切口微创THA年轻患者29例,术前制定PME康复训练计划,指导患者术后选择性主动训练。给予6个月阶段训练指导,分别于术后1、3、6个月评价髋关节功能(Harris评分)及日常生活活动能力(ADL)。记录患者首次下床活动、住院时间及术后并发症。结果 29例患者术后3、6个月Harris评分和ADL评分均高于术后1个月(P<0.05)。患者术后首次下床活动时间为(4.0±1.3)d,住院(7.3±1.4)d。住院期间发生深静脉血栓形成(DVT)2例,泌尿系统感染1例。术后6个月,髋关节功能优24例、良4例、可1例,优良率96.6%。25例患者在手术后5-6周内恢复正常工作。结论对小切口微创THA的年轻患者,实施PME康复训练计划有利于患者关节功能的恢复。Objective To summarize the efficacy of Pilates method of exercise （PME） rehabilitation plan in the patients undergoing total hip joint arthroplasty（THA）. Methods The PME rehabilitation plan was conducted in 29 young patients undergoing minimally invasive THA with small incision, which included preoperative PME training and postoperative guidance of PME rehabilitation for 6 months. The hip joint function was evaluated by Harris hip score and the ability of daily live was evaluated by ADL scoring in the 1st, 3rd and 6th month after surgery. The times of getting of bed for the first time after operation and hospital stay were recorded. The postoperative complications were observed. Results The scores of Harris and ADL scoring were higher in the 3rd and 6th month after surgery than those in the 1st month（P〈0. 05）..The time of getting of bed for the first time after operation was （4. 0±1. 3） days and that of hospital stay was （7.3±1.4） days. The hip joint function was evaluated as excellent in 24 cases, good in 4 cases and general in one case with a overall effectiveness rate of 96.6o//oo. Of 29 cases, 25 patients returned to normal work within 5 to 6 weeks after surgery. The postoperative complications included deep vein thrombosis in 2 cases during the stay in bed and urinary tract infection in one case. Conclusion Application of PME rehabilitation plan is helpful in improving the recovery of hip joint function in young patients after minimally invasive THA with small incision.

关 键 词：髋关节置换术 普拉提斯康复训练 

分 类 号：R687[医药卫生—骨科学]