新型围术期功能锻炼联合康复指导在小儿发育性髋关节脱位治疗中的应用  

Application of new perioperative functional exercise combined with rehabilitation guidance in the treatment of developmental hip dislocation in children

作　　者：李华[1] 胡晓云[1] 李连永[1] Li Hua;Hu Xiaoyun;Li Lianyong(Department of Pediatric Orthopedics,Shengjing Hospital ,Affiliated to China Medical University,Shenyang,Liaoning,110003,China)

机构地区：[1]中国医科大学附属盛京医院小儿骨科,沈阳110003

出　　处：《中国基层医药》2019年第3期257-260,共4页Chinese Journal of Primary Medicine and Pharmacy

基　　金：国家自然科学基金(30600654).

摘　　要：目的探究分析新型围术期功能锻炼联合康复指导在小儿发育性髋关节脱位治疗中的临床应用。方法选取2015年12月至2017年12月中国医科大学附属盛京医院收治的行手术治疗的40例小儿发育性髋关节作为临床研究对象,采用随机数字表法将其分为对照组和观察组两组,各20例,对照组给予常规围手术期康复指导,观察组给予新型围术期功能锻炼联合康复指导,比较两组患儿行不同干预前后肢体功能及心理状态变化情况。结果两组干预后与干预前相比FMA及Barthel评分均升高,观察组与对照组相比上述评分改善更加显著,差异均有统计学意义(均P<0.05)。行不同干预后,观察组患儿焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD)等负性情绪评分均明显低于同期对照组(均P<0.05),差异有显著统计学意义。结论新型围术期功能锻炼联合康复指导能有效改善小儿发育性髋关节脱位的肢体功能,同时改善患儿的心理状态,对于提高稳定的近远期疗效具有积极意义。Objective To explore and analyze the clinical application of perioperative functional exercise combined with rehabilitation guidance in the treatment of pediatric developmental hip dislocation.MethodsFrom December 2015 to December 2017,40 children with developmental dislocation of the hip treated in Shengjing Hospital Affiliated to China Medical University were selected in the research.The patients were randomly divided into control group and observation group,with 20 cases in each group.The control group was given conventional perioperative rehabilitation guidance,the observation group was given new perioperative functional exercise combined with rehabilitation guidance.The limb function and mental status changes before and after the intervention were compared between the two groups.ResultsAfter intervention,the scores of FMA and Barthel were all increased in the two groups compared with those before intervention,and the improvements of the observation group wese more significant than those of the control group(all P<0.05).After intervention,the self-rating anxiety scale(SAS),self-rating depression scale(SDS),Hamilton depression scale(HAMD)and other negative emotions scores in the observation group were significantly lower than those in the control group(all P<0.05).ConclusionNew perioperative functional exercise combined with rehabilitation guidance can effectively improve the limb function of children with developmental dislocation of the hip joint,at the same time improve the patients'mental state,and has positive significance to enhance the curative effect.

关 键 词：围术期 功能锻炼 康复指导 髋关节脱位 儿童 发育性 心理状态 

分 类 号：R726.8[医药卫生—儿科]