髋部肌肉功能锻炼在全髋关节置换术患者中的效果研究  

The effects of strengthening hip muscle function exercise in patients undergoing total hip arthroplasty

作　　者：李春柳[1] 刘晗[1] 李赛 LI Chunliu;LIU Han;LI Sai(The Third Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第三医院,石家庄市050000

出　　处：《河北医药》2021年第11期1696-1699,共4页Hebei Medical Journal

摘　　要：目的探讨加强髋部肌肉功能锻炼在全髋关节置换患者中的应用,分析其临床效果。方法按随机对照原则,抽取2018年1月至2019年8月全髋关节置换手术的患者100例作为研究对象,分为观察组与对照组,每组50例。对照组患者按常规方式执行功能锻炼,观察组患者在对照组功能锻炼基础上按计划执行髋部肌肉功能锻炼,统计患者出院时、术后1个月、3个月、6个月、1年的Harris髋关节功能评分、患者生活质量评分、步速(m/s)及患者满意率,分析髋部肌肉功能锻炼在全髋关节置换患者中的临床效果。结果2组患者Harris值出院时差异无统计学意义(P>0.05),在术后1个月、3个月、6个月及1年时观察组Harris值明显优于对照组,差异有统计学意义(P<0.05);2组患者生活质量评分在术后出院时及术后1个月差异无统计学意义(P>0.05),术后3个月、6个月及1年时观察组生活质量评分明显优于对照组,差异有统计学意义(P<0.05);2组患者术后出院时、1个月步速差异无统计学意义(P>0.05);术后3个月、6个月、1年观察组步速显著高于对照组,差异有统计学意义(P<0.05);观察组满意率明显高于对照组,差异有统计学意义(P<0.05)。结论全髋关节置换术患者加强髋部肌肉功能锻炼,可促进患者髋关节功能恢复及提高患者生活质量,同时可增加患者的满意率。Objective To investigate the effects of strengthening hip muscle function exercise in patients undergoing total hip arthroplasty.Methods One hundred patients who were treated by total hip replacement surgery in our hospital from January 2018 to August 2019 were enrolled in the study,who were rondomly divided into observation group and control group,with 50 cases in each group.The patients in control group were treated by routine function exercise,however,the patients in observation group,on the basis of control group,were treated by hip muscle function exercise.The Harris hip function score,the quality of life score,the speed of walking(m/s)and the satisfaction rate of patients were observed and compared between the two groups.Results At discharging from hospital,there were no significant differences in Harris values between the two groups(P>0.05).The Harris values at 1m,3m,6m after operation in observation group were significantly better than those in control group(P<0.05).There were no significant differences in life quality scores at discharging from hospital and at 1m after operation between the two groups(P>0.05),however,which at 3m,6m,1y after operation in observation group were superior to those in control group(P<0.05).There was no significant difference in gait speed at discharging from hospital and at 1m after operation between the two groups(P>0.05),however,which at 3m,6m,1y after operation in observation group was significantly higher than that in control group(P<0.05).Moreover the satisfaction rate of patients in observation group was significantly higher than that in control group(P<0.05).Conclusion To strengthen hip muscle function exercise for patients undergoing total hip arthroplasty can promote the recovery of hip function and improve the life quality of patients,meanwhile,which can increase the satisfaction rate of patients.

关 键 词：全髋关节置换术 髋部肌肉 功能锻炼 效果评价 

分 类 号：R687.4[医药卫生—骨科学]