健髋八法对臀肌挛缩症术后康复的作用  

Effect of jiankuan bafa on postoperative rehabilitation after operation of gluteus contracture

作　　者：王炳臣 薛福珍[1] 黄抗美[1] 林咏杰 门阔业 吕淑仪[1] 

机构地区：[1]山东省交通医院骨科,山东省济南市250031 [2]高密市第二人民医院外科,山东省高密市261505

出　　处：《中国临床康复》2004年第11期2022-2023,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:采用健髋八法对臀肌挛缩症术后患者进行康复,验证其康复效果。方法:将条件相同的78例臀肌挛缩症术后患者,随机分成“八法”组39例,常规功能锻炼组39例,“八法”组采用自创的健髋八法进行康复治疗,常规组,术后双下肢并膝伸直,术后一两周下地进行髋关节锻炼。对两组患者的临床效果进行比较。结果:术后4周髋关节屈曲、内收、内旋丢失的度数八法组明显低于常规组,分别为(0.410±2.935)°,(2.308±3.213)°,(P<0.01,t=2.650);(0.436±2.426)°,(2.385±2.358)°,(P<0.001,t=3.457);(1.923±2.728)°,(3.923±3.505)°(P<0.01,t=2.721)。随访1～3年髋关节屈曲、内收、内旋丢失的度数八法组明显低于常规组,分别为(-0.205±2.567)°,(1.538±3.553)°,(P<0.05,t=2.031);(0.077±1.692)°,(1.256±2.692)°,(P<0.05,t=1.998);(0.359±2.996)°,(1.026±3.399)°,(P<0.001,t=3.418),两组差异有非常显著性意义。皮下积液发生率八法组17.95%(7/39),常规组17.95%(7/39),(χ2=0,P>0.5),切口瘢痕增生发生率八法组56.41%(22/39),常规组58.97%(23/39),(χ2=0.052,P>0.5)。均无切口不愈合及切口感染。结论:臀肌挛缩症术后患者采用健髋八法康复锻炼,可以减少髋关节屈曲、内收、内旋度数的丢失,不增加皮下积液、切口瘢?AIM:To introduce jiankuan bafa to the patients in the healing process after th e operation of gluteus,and to validate its healing effect.METHODS:Totally 78 similar patients after poeration because of gluteus contrac ture were randomly divided into bafa group(39 patients) and routine functional t raining group(39 patients). The self-created jiankuan bafa were adopted for the rehabilitative treatment of bafa group.In the routine group,the patients had th eir knee joints unbend for one to two weeks after operation,and then exercised t heir hip joints out of the bed.The clinical effects of the two groups were compa red.RESULTS:Four weeks after operation,the lost desgrees of flection,adduction and medial rotation of the hip joint of the bafa group were obvious less than those of the routine group,and the degrees were (0.410±2.935)° and (2.308±3.213) °(P< 0.01,t=2.650),(0.436±2.426)° and (2.385±2.358)°(P< 0.001,t=3.457),(1 .923±2.728)° and (3.923±3.505)°(P< 0.01,t=2.721) respectively.After 1-3-y ear follow-up,the lost degrees of flection,adduction and medial totation of the hip joint in the bafa group were still less than the routine group,and the degr ees were(-0.205±2.567)° and (1.538±3.553)°(P< 0.05 ,t=2.031),(0.077±1. 692)° and (1.256±2.692)°(P< 0.05,t=1.998),(0.359±2.996)° and (1.026±3.39 9)°(P< 0.001,t=3.418) respectively,so there was a significant difference betwee n the two groups.The rate of subcutaneous hydrocele in the bafa group was 17.95 %(7/39),and in the routine group was 17.95%(7/39)(χ2=0,P >0.5).The rates of i ncision hyperplasin in the bafa group and in the routine group were 56.41%(22/3 9) and 58.97%(23/39) respctively(χ2=0.052,P >0.5).No unhealing and infection o f the incision were found in the both groups.CONCLUSION:After the operation of gluteus contracture,for the patients who ado pt jiankuan bafa in the rehabilitation exercise,their lost degrees of flection,a dduction and medial rotation of the hip joint are reduced,and the occurrence rat es of complication of subc

关 键 词：健髋八法 臀肌挛缩症 康复 功能锻炼 双侧臀肌松解术 

分 类 号：R746[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]