| 王 欢,蔡华安,张淑云,沈 翔,黄中华.早期下床活动联合髋部周围肌肉抗阻训练对老年全髋关节置换术后患者髋关节功能和生活质量的影响[J].现代生物医学进展英文版,2022,(15):2986-2989. |
| 早期下床活动联合髋部周围肌肉抗阻训练对老年全髋关节置换术后患者髋关节功能和生活质量的影响 |
| Effects of Early Out of Bed Activities Combined with Resistance Training of Hip Muscles Around on Hip Function and Quality of Life in Elderly Patients after Total Hip Arthroplasty |
| Received:January 31, 2022 Revised:February 27, 2022 |
| DOI：10.13241/j.cnki.pmb.2022.15.036 |
| 中文关键词: 老年 全髋关节置换术 早期下床活动 髋部周围肌肉抗阻训练 生活质量 髋关节功能 |
| 英文关键词: Elderly Total hip arthroplasty Early out of bed activities Resistance training of muscles around hip Quality of life Hip function |
| 基金项目:湖南省自然科学基金项目（2016JJ60168） |
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| 中文摘要: |
| 摘要 目的：观察早期下床活动联合髋部周围肌肉抗阻训练对老年全髋关节置换术（THA）后患者髋关节功能和生活质量的影响。方法：选取我院2018年2月~2020年8月期间收治的老年THA患者83例。使用随机数字表法将患者分为对照组和联合组，例数分别为41例和42例，分别接受早期下床活动、早期下床活动联合髋部周围肌肉抗阻训练干预，对比两组睡眠质量、疼痛情况、生活自理能力、术后多个时点的髋关节功能评分、生活质量，并观察两组并发症发生情况。结果：两组干预后匹兹堡睡眠质量指数（PSQI）、视觉模拟评分法（VAS）评分较干预前下降，Barthel指数（BI）评分较干预前升高，且联合组的变化程度大于对照组（P<0.05）。两组术后1个月、3个月、6个月、12个月Harris人工髋关节功能评分逐渐升高，且联合组高于对照组（P<0.05）。两组干预后心理功能、物质生活状态、社会功能、躯体功能评分较干预前升高，且联合组的变化程度大于对照组（P<0.05）。两组并发症发生率组间对比无统计学差异（P>0.05）。结论：早期下床活动联合髋部周围肌肉抗阻训练可促进老年THA后患者髋关节功能恢复，减轻患者术后疼痛，改善睡眠质量，进而提高患者的生活质量，预防相关并发症的发生，改善预后。 |
| 英文摘要: |
| ABSTRACT Objective: To observe the effect of early out of bed activities combined with resistance training of hip muscles around on hip function and quality of life in elderly patients after total hip arthroplasty (THA). Methods: 83 elderly patients with THA who were received in our hospital from February 2018 to August 2020 were selected. Using a random number table method divided the patients into control group and the combined group, the number of cases of 41 and 42, respectively, they were respectively, received early out of bed activities, early out of bed activities combined with resistance training of hip muscles around intervention. The sleep quality, pain situation, self-care ability, hip function scores at multiple postoperative points and quality of life of the two groups were compared, the complications of the two groups were observed. Results: After intervention, the Pittsburgh sleep quality index(PSQI) and visual analogue scale (VAS) scores of the two groups decreased compared with before intervention, and the Barthel index(BI) rating scale score increased compared with before intervention, and the change degree of the combined group was greater than that of the control group (P<0.05). The Harris artificial hip function score of the two groups increased gradually at 1 month, 3 months, 6 months and 12 months after operation, and the combined group was higher than the control group (P<0.05). After intervention, the scores of psychological function, material life status, social function and physical function in the two groups were higher than those before intervention, and the changes in the combined group were greater than those in the control group(P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion: Early out of bed activities combined with resistance training of hip muscles around the hip can promote the recovery of hip function in elderly patients after THA, relieve postoperative pain, improve sleep quality, improve the quality of life of patients, prevent the occurrence of related complications, and improve the prognosis. |
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