多学科联合康复在全髋关节置换术后伴肌少症患者中的应用  

Application of multidisciplinary combined rehabilitation in patients with sarcopenia after total hip replacement

作　　者：王培霞[1] 李丹丹[1] 游孟孟 李宛露 张卫红[1] 徐慧萍[1] Wang Peixia;Li Dandan;You Mengmeng;Li Wanlu;Zhang Weihong;Xu Huiping(Department of Orthopedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院骨科,郑州450052

出　　处：《中华现代护理杂志》2022年第8期992-996,共5页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目(SBGJ202003030)。

摘　　要：目的探讨多学科联合康复在人工全髋关节置换术(THA)术后伴肌少症患者中的应用效果。方法采用便利抽样法,选择2020年5—12月在郑州大学第一附属医院关节外科住院行THA治疗且伴肌少症的114例患者为研究对象,采用随机数字表法分为对照组和观察组,每组57例。对照组采取常规康复护理,观察组实施多学科联合康复干预。比较两组患者干预前后的肌肉相关指标,采用简式Fugl-Meyer运动功能评分法、Harris评分比较两组患者干预后的患肢运动功能及髋关节功能恢复情况。结果观察组患者干预后全身肌肉质量、四肢骨骼肌质量、患肢骨骼肌质量、四肢骨骼肌质量指数高于对照组,差异有统计学意义(P<0.05)。观察组患者患肢Fugl-Meyer运动功能优于对照组,差异有统计学意义(P<0.01);观察组患者简式Fugl-Meyer运动功能评分法总分和Harris评分高于对照组,差异有统计学意义(P<0.01)。结论多学科联合康复可以有效预防THA伴肌少症患者术后肌肉萎缩和肌肉质量下降,有利于患肢运动功能和髋关节功能的恢复。Objective To explore the application effect of multidisciplinary combined rehabilitation in patients with sarcopenia after total hip arthroplasty(THA).Methods A total of 114 patients with sarcopenia who underwent THA treatment in the Department of Joint Surgery of the First Affiliated Hospital of Zhengzhou University from May to December 2020 were selected as the research objects by the convenient sampling method.The patients were divided into the control group and the observation group by the random number table method,with 57 cases in each group.The control group received routine rehabilitation nursing,while the observation group received multidisciplinary combined rehabilitation intervention.Muscle related indexes were compared between the two groups before and after intervention.The short-form Fugl-Meyer motor function score and Harris score were used to compare the motor function of the affected limb and the recovery of hip joint function in the two groups after intervention.Results After intervention,the whole body muscle mass,limb skeletal muscle mass,affected limb skeletal muscle mass and limb skeletal muscle mass index of patients in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The Fugl-Meyer motor function of the affected limb in the observation group was better than that in the control group,and the difference was statistically significant(P<0.01).The total score of simplified Fugl-Meyer motor function score and Harris score of the observation group were higher than those in the control group,and the differences were statistically significant(P<0.01).Conclusions Multidisciplinary combined rehabilitation can effectively prevent postoperative muscle atrophy and muscle mass loss in THA patients,which is beneficial to the recovery of the motor function of the affected limb and hip joint function.

关 键 词：康复护理 关节成形术 置换 髋 多学科协作 肌少症 

分 类 号：R473.6[医药卫生—护理学]