基于快速康复理念的整体优化康复方案在全髋关节置换术患者中的应用效果  

Application Effect of Overall Optimized Rehabilitation Scheme Based on Fast Recovery Concept in Patients Undergoing Total Hip Arthroplasty

作　　者：杜晓松[1] 周美 王威[1] 孟小娜 Du Xiaosong;Zhou Mei;Wang Wei;Meng Xiaona(The Second Hospital of Tangshan,Tangshan 063000,Hebei Province,China)

机构地区：[1]唐山市第二医院,河北唐山063000

出　　处：《中国社区医师》2024年第29期129-131,共3页Chinese Community Doctors

基　　金：2021年度河北省医学科学研究课题计划(编号:20210819)。

摘　　要：目的:探讨基于快速康复理念的整体优化康复方案在全髋关节置换术(THA)患者中的应用效果。方法:选取2020年7月—2021年6月于唐山市第二医院行THA治疗的老年肌少症并发髋关节骨性关节炎、股骨头坏死患者96例作为研究对象,随机分为优化康复组(n=48)及传统康复组(n=48)。优化康复组实施基于快速康复理念的整体优化康复方案,传统康复组实施常规康复干预。比较两组干预效果。结果:术后6个月,优化康复组全身肌肉质量、四肢骨骼肌质量、优势手握力提高,且高于同期传统康复组(P<0.05);传统康复组全身肌肉质量、四肢骨骼肌质量、优势手握力较术前无明显变化,差异无统计学意义(P>0.05)。术后6个月,优化康复组腰椎、髋部骨密度提高,且高于同期传统康复组(P<0.05);传统康复组腰椎、髋部骨密度较术前无明显变化,差异无统计学意义(P>0.05)。术后7 d、术后30 d、术后6个月,两组髋关节残疾和骨关节炎预后问卷评分升高,且优化康复组高于传统康复组(P<0.05)。结论:基于快速康复理念的整体优化康复方案在THA患者中的应用效果较好,可提高患者肌肉质量、优势手握力、骨密度,改善髋关节功能。Objective:To explore the application effect of overall optimized rehabilitation scheme based on fast recovery concept in patients undergoing total hip arthroplasty(THA).Methods:A total of 96 elderly patients with sarcopenia complicated by hip osteoarthritis and femoral head necrosis who underwent THA treatment in the Second Hospital of Tangshan from July 2020 to June 2021 were selected as the study subjects.They were randomly divided into optimized rehabilitation group(n=48)and traditional rehabilitation group(n=48).The optimized rehabilitation group implemented the overall optimized rehabilitation scheme based on fast recovery concept,and the traditional rehabilitation group implemented routine rehabilitation intervention.The intervention effects of the two groups were compared.Results:At 6 months after surgery,the whole body muscle mass,limb skeletal muscle mass and dominant hand grip strength in the optimized rehabilitation group increased and were higher than those in the traditional rehabilitation group during the same period(P<0.05).There were no significant changes in the whole body muscle mass,limb skeletal muscle mass and dominant hand grip strength in the traditional rehabilitation group compared with those before surgery,and the difference was not statistically significant(P>0.05).At 6 months after surgery,the bone mineral density of lumbar spine and hip in the optimized rehabilitation group increased and were higher than those in the traditional rehabilitation group during the same period(P<0.05).There was no significant change in bone mineral density of lumbar spine and hip in the traditional rehabilitation group compared with those before surgery,and the difference was not statistically significant(P>0.05).On 7 days after surgery,on 30 days after surgery and at 6 months after surgery,the hip disability and osteoarthritis outcome scores in the two groups increased,and the scores in the optimized rehabilitation group were higher than those in the traditional rehabilitation group(P<0.05).Conclusion:The

关 键 词：老年 肌少症 全髋关节置换术 快速康复 整体优化 

分 类 号：R685[医药卫生—骨科学]