早期抗阻训练在髋关节置换术患者中的应用价值  

Application Value of Early Resistance Training in Patients With Hip Replacement Surgery

作　　者：张燕[1] 王佳[1] 胡文环 ZHANG Yan;WANG Jia;HU Wenhuan(Operating Room,Rehabilitation and Recuperation Center of Tianjin City of Joint Logistic Support Force of People's Liberation Army of China,Tianjin 300381,China)

机构地区：[1]中国人民解放军联勤保障部队天津康复疗养中心手术室,天津300381

出　　处：《中国卫生标准管理》2024年第10期120-123,共4页China Health Standard Management

摘　　要：目的 探讨早期抗阻训练在髋关节置换术患者中的应用价值。方法 选取2021年1月—2022年6月中国人民解放军联勤保障部队天津康复疗养中心的80例髋关节置换术患者,依据随机数字表法分为2组。对照组的40例患者进行常规训练,观察组的40例患者进行早期抗阻训练。比较2组的关节功能总优良率,术前、术后的Charnley髋关节功能评分及假体周围骨密度。结果 观察组术后6、12个月关节功能总优良率分别为95.00%、100%,高于对照组的77.50%、87.50%(P<0.05);术前,2组Charnley髋关节功能评分及假体周围骨密度比较,差异无统计学意义(P>0.05);观察组术后6、12个月后Charnley髋关节功能评分及假体周围骨密度均高于对照组(P<0.05)。结论 早期抗阻训练在髋关节置换术患者中的应用效果较好,可更为有效地改善患者关节功能及假体周围骨密度,在髋关节置换术患者中的应用价值较高。Objective To investigate the application value of early resistance training in patients with hip replacement surgery.Methods A total of 80 patients with hip replacement surgery in Rehabilitation and Recuperation Center of Tianjin City of Joint Logistic Support Force of People's Liberation Army of China from January 2021 to June 2022 were divided into two groups according to the method of random number table.A total of 40 cases of control group were treated with routine training,40 cases of observation group were treated with early resistance training.Then the total excellent and good rates of joint function,Charnley hip joint function score and periprosthetic bone mineral density before and after the intervention of two groups were compared.Results The overall excellent and good rates of joint function in the observation group were 95.00%and 100%after 6 and 12 months,respectively,which were higher than 77.50%and 87.50%in the control group(P<0.05).The differences of Charnley hip joint function score and periprosthetic bone mineral density of two groups before surgery were not statistically significant(P>0.05).The Charnley hip joint function score and periprosthetic bone mineral density of observation group at sixth and twelfth month after the intervention were all higher than those of control group(P<0.05).Conclusion The application effect of early resistance training in patients with hip replacement surgery is better,and it can more effectively improve the joint function and periprosthetic bone mineral density of patients,so its application in patients with hip replacement surgery is higher.

关 键 词：早期 抗阻训练 髋关节置换术 优良率 关节功能 假体周围骨密度 

分 类 号：R683[医药卫生—骨科学]