文章摘要
赵力力,徐丹,张善纲,倪丽君.全髋置换术后早期系统康复的疗效观察[J].中国康复,2013,28(5):357-358
全髋置换术后早期系统康复的疗效观察
Effectiveness of early systematic rehabilitation for total hip replacement
  
DOI:
中文关键词: 全髋置换术后  早期系统康复  下肢功能
英文关键词: total hip replacement  early systematic rehabilitation  lower-limb function
基金项目:
作者单位
赵力力 广州军区武汉总医院康复理疗科武汉 430070 
徐丹 广州军区武汉总医院康复理疗科武汉 430070 
张善纲 广州军区武汉总医院康复理疗科武汉 430070 
倪丽君 广州军区武汉总医院康复理疗科武汉 430070 
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中文摘要:
  目的:观察全髋置换术后早期系统康复治疗对下肢功能的影响。方法:全髋关节置换术患者50例,随机分为2组各25例,对照组术后由骨科医护人员给予指导,观察组由康复专业人员进行系统康复干预。分别于术前、干预2周后采用Harris髋关节等级评分、术后下地天数、术后行走天数及患髋屈曲活动度进行评估。结果:术后2周,2组患者Harris评分及髋关节屈曲活动度均较治疗前显著提高(P<0.05),且观察组更高于对照组(P<0.05)。术后2周,观察组术后开始下地时间及行走时间均明显早于对照组(均P<0.05)。结论:全髋置换术后早期系统康复可以促进下肢功能的恢复。
英文摘要:
  Objective:To observe the effects of early systematic rehabilitation on lower-limb function after total hip replacement.Methods:Fifty patients undergoing total hip replacement were randomly divided into two groups:control group accepting counseling from orthopedists post-opteratively (n=25),and in observation group,patients were trainned systematically by rehabilitative specialists (n=25).Harris Hip Score was utilized to assess patients' hip function pre-treatment and 2 weeks post-treatment.The standing time and the walking time after operation and flexion angle of sick hip (ROM) were also used to evaluate functions of lower limbs.Results:Harris hip scores and the ROM of sick hip (flexion) from both groups got significant improvement 2 weeks after treatment (P<0.05),more greatly in observation group (P<0.05).The standing time and the walking time after operation in observation group were earlier than in control group (P<0.05).Conclusion:Early systematic rehabilitation after total hip replacement could promote the recovery of the lower limb function effectively.
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