早期康复路径对髋关节置换术患者恢复进程和Harris评分的影响

Influence of early rehabilitation pathway on recovery process and Harris scores of hip replacement patients

  • 摘要: 目的 探讨早期康复路径在髋关节置换术患者术后恢复的应用效果。 方法 选取本院成功接受髋关节置换术治疗的90例患者为研究对象,根据随机数表分为对照组和研究组,每组45例。对照组术后给予常规骨科康复护理,研究组术后在常规康复护理基础上开展早期康复路径功能训练。比较2组术后下床活动时间、住院时间和并发症发生率。采用Harris评分评估2组髋关节功能恢复情况。 结果 研究组术后下床活动时间和住院时间均短于对照组(P<0.05), 并发症发生率低于对照组,差异均有统计学意义(P<0.05); 2组术后1个月髋关节畸形、疼痛、关节活动度、功能性活动各项目评分及Harris总评分均较术前显著提高(P<0.05), 且研究组上述评分均高于对照组,差异有统计学意义(P<0.05)。 结论 早期康复路径功能训练有助于髋关节置换术患者术后早日恢复,同时能够减少并发症的发生,加速髋关节功能恢复。

     

    Abstract: Objective To explore the application effect of early rehabilitation pathway on postoperative recovery of hip replacement patients. Methods A total of 90 patients who were successfully treated by hip replacement were selected as study objects. According to the random number table method, they were divided into control group and study group, with 45 cases in each group. The control group was given routine orthopedic rehabilitation nursing, and the study group was given early rehabilitation pathway function training on the basis of routine rehabilitation nursing. The bed-off time, the time of hospitalization and the incidence of complications were compared between the two groups. At the same time, Harris scores was used to evaluate the recovery of hip joint function in the two groups. Results The bed-off time and hospital stay in the study group was shorter than that in the control group, and the complication rate was lower than that in the control group(P<0.05). The item score of deformity, pain, joint activity, functional activity and total Harris scores one month after operation in the two groups were significantly higher than those before operation(P<0.05), and the above scores in the study group were higher than those in the control group(P<0.05). Conclusion Early rehabilitation pathway function training is helpful to promote early recovery and reduce the incidence of complications of hip replacement patients, and accelerate the rehabilitation of hip joint function.

     

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