set悬吊系统核心肌群锻炼在人工髋关节置换术后早期康复中的应用价值  

Application Value of Core Muscle Group Exercise in Set Suspension System for Early Rehabilita-tion after Artificial Hip Replacement

作　　者：陈澜[1] 杨玥[1] 陈莉莉 李冬 李瑾 CHEN Lan;YANG Yue;CHEN Li-li(Department of Orthopedics, The Third People＇s Hospital of Chengdu, Sichuan, 610000 China)

机构地区：[1]四川省成都市第三人民医院骨科,四川成都610000 [2]首都医科大学附属北京康复医院康复诊疗中心,北京100144

出　　处：《医学临床研究》2018年第6期1089-1092,共4页Journal of Clinical Research

摘　　要：【目的】探讨set悬吊系统核心肌群锻炼在人工髋关节置换术后早期康复中的应用价值。【方法】选择2014年3月至2015年3月本院骨科诊治的人工髋关节置换术患者122例，按随机数表法分为观察组（n=62）和对照组（n=60），对照组患者术后24h行常规康复训练，观察组在对照组的基础上加用set悬吊系统核心肌群锻炼，比较两组患者康复效果。【结果】观察组患者术后关节水平优良率为91．94％（57／62），明显高于对照组的76．67％（46／60），观察组患者治疗6个月Harris髋关节评分为（92．4±7．1）分，明显高于对照组的（83．2±5．8）分，其差异均有统计学意义（均P〈0．05）。两组患者康复训练治疗前改良Barthel指数（MBI）评分无明显差别（P〉0．05），观察组康复训练治疗2周、1个月、3个月后MBI评分均明显高于对照组（均P〈0．05）。随访一年，观察组患者并发症发生率为4．84％（3／62），明显低于对照组的26．66％（16／60），其差异均有统计学意义（P〈0．05）。【结论】人工髋关节置换术后应用set悬吊系统核心肌群锻炼可促进患者髋关节功能恢复，减少患者疼痛及并发症的发生率，提高患者生活质量，值得临床推广应用。[Objective] To study and analyze the early rehabilitation effects of core muscle group exercises in the set suspension system after artificial hip joint replacement. [Methods]A total of 122 patients undergoing artificial hip arthroplasty admitted to our hospital from March 2014 to March 2015 were selected as the study subjects. Patients were randomly divided into the observation group （ n=62） and the control group （ n =60）. The patients in the con- trol group received routine rehabilitation training 24 hours after operation, and patients in the observation group per- formed the core muscle training in the set suspension system on the basis of routine exercises. The rehabilitative effects of the two groups were compared. [Results]The ＂excellent and good＂ rate of postoperative joint level was 91. 94% （57/62） in the observation group, which w^s significantly higher than that of the control group of 76.67% （46/ 60）. In the observation group, the Harris hip score was 92.4 ＋ 7.1 points over the course of the 6 month treatment, which was higher than that of the control group＇s 83.2 ＋ 5.8 points. The difference was statistically significant （ P 〈 0.05）. The scores of MBI （modified Barthel index） in the two groups before rehabilitation training showed no signifi- cant differences （P〉0.05）. The scores of MBI in the observation group at two weeks, one month, and three months after rehabilitation training were higher than those of the control group （48.27 ± 7.48 vs 39.18 ±- 6.29）, （71.54 ± 10.35 vs 59.15 ± 9.18）, and （92.48 ± 7.22 vs 86.24 ± 6.99）, respectively （ P〈0.05）. One year fol- low-up showed that the patients＂ complications mainly included pain, claudication, and deep venous thrombosis of lower extremity. The incidence of complications in the observation group was 4.84% （3/62）, which was lower than the control group 26.66% （16/60）. The difference was statistically significant （ P〈0.05）. [Conclusion]The use of the set suspension system c

关 键 词：关节成形术 置换 髋/康复 运动疗法 

分 类 号：R687.42[医药卫生—骨科学]