渐进式功能锻炼对老年髋关节置换术后患者的影响  

Influence of progressive functional exercise on elderly patients after hip arthroplasty

作　　者：朱玉霞 谢晓君 刘慧诗 霍柳顺 钱淑芬 ZHU Yu-Xia;XIE Xiao-Jun;LIU Hui-Shi(Orthopedics Department,Dongguan Traditional Chinese Medicine Hospital,Dongguan 523000,Guangdong,China)

机构地区：[1]东莞市中医院骨科,广东东莞523000

出　　处：《吉林医学》2024年第12期3126-3129,共4页Jilin Medical Journal

基　　金：广东省中医药局科研课题[项目编号:20202224]。

摘　　要：目的:探究渐进式功能锻炼对老年髋关节置换术后患者肢体功能康复、心理状态及生活质量的影响。方法:选取2020年6月~2021年7月在东莞市中医院进行髋关节置换手术治疗的103例高龄患者,以随机抽样法分为对照组52例(常规干预)和研究组51例(在常规干预基础上实施渐进式功能锻炼),比较两组患者肢体功能康复情况、心理状态及生活质量。结果:研究组干预后髋关节Harris功能评分及生活质量评分分别为(77.75±6.59)分及(64.16±4.08)分,均显著高于常规组的(61.56±6.74)分和(52.16±5.07)分,差异均有统计学意义(P<0.01)。干预后研究组SAS及SDS评分分别为(39.64±4.34)分及(39.46±4.23)分,均显著低于常规组的(47.49±5.15)分和(48.18±5.11)分,差异均有统计学意义(P<0.01)。结论:对老年髋关节置换术后患者实施渐进式功能锻炼,能够显著提高其髋关节功能恢复水平、心理状态及生活质量,对改善患者术后康复速度具有重要意义。Objective To explore the effect of progressive functional exercise on physical rehabilitation,psychological status and quality of life after elderly hip replacement.Method 103 cases of elderly patients in our hip replacement surgery treatment from June 2020 to July 2021 were selected,they were divided into a control group of 52 cases(conventional intervention)and a study group of 51 cases(progressive functional exercise based on conventional intervention)using random sampling method,the two groups of limb function rehabilitation,psychological state and quality of life were compared.Results After the intervention,the Harris functional score and quality of life score of the hip were(77.75±6.59)and(64.16±4.08),respectively,which were significantly higher than the conventional group(61.56±6.74)and(52.16±5.07)(P<0.01),and their SAS and SDS scores were(39.64±4.34)and(39.46±4.23),respectively,which were significantly lower than the conventional group(47.49±5.15)and(48.18±5.11)(P<0.01).Conclusion Progressive functional exercise for elderly patients after hip replacement can significantly improve the hip functional recovery level,psychological state and quality of life,which is of great significance to improve the postoperative rehabilitation speed of patients after surgery,which is worth popularizing.

关 键 词：渐进式功能锻炼 老年患者 髋关节置换术后 肢体功能康复 生活质量 心理状态 

分 类 号：R473.6[医药卫生—护理学]