摘要
目的探讨骨科康复一体化模式联合核心肌力训练对髋关节置换术患者慢性疼痛及运动功能的影响。方法选择2020年1月至2023年1月扬州大学建湖临床医学院康复科医治的80例髋关节置换术患者作为研究对象,随机分为参照组与观察组,每组40例。参照组术后采用核心肌力训练,观察组术后采用骨科康复一体化模式联合核心肌力训练。比较两组Barthel指数、Harris髋关节功能评分、视觉模拟评分法(visual analogue scale,VAS)评分、并发症及慢性疼痛发生情况及满意度。结果干预1、2个月,观察组Harris髋关节功能评分、Barthel指数评分均高于参照组,VAS评分低于参照组,差异有统计学意义(P<0.05)。观察组并发症发生率、慢性疼痛发生率均低于参照组,总满意度高于参照组,差异有统计学意义(P<0.05)。结论骨科康复一体化模式联合核心肌力训练能够改善髋关节置换术患者术后髋关节功能,降低慢性疼痛发生率,提高患者满意度。
Objective To investigate the effect of integrated orthopedic rehabilitation combined with core muscle strength training on chronic pain and motor function in patients after hip joint replacement.Methods A total of 80 patients who underwent hip joint replacement were treated in the department of Rehabilitation,Jianhu Clinical Medical College,Yangzhou University from January 2020 to January 2023 were selected as the study subjects,and they were randomly divided into the reference group and the observation group,with 40 cases in each group.The reference group received core muscle strength training postoperatively,while the observation group received integrated orthopedic rehabilitation combined with core muscle strength training.The Barthel index,Harris hip function score,visual analogue scale(VAS)score,complications,chronic pain occurrence and patient satisfaction were compared between the two groups.Results After 1 and 2 months of intervention,Harris hip function score and Barthel index score in the observation group were higher than those in the reference group,and VAS score was lower than those in the reference group,and the differences were statistically significant(P<0.05).The incidence of complications and chronic pain in the observation group was lower than that in the reference group,and the total satisfaction was higher than that in the reference group,and the differences were statistically significant(P<0.05).Conclusion Integrated orthopedic rehabilitation combined with core muscle strength training can improve hip joint function after hip joint replacement surgery,reduce the incidence of chronic pain,and increase patient satisfaction.
作者
袁萍
王艳丽
YUAN Ping;WANG Yanli(Department of Rehabilitation,Jianhu Clinical Medical College,Yangzhou University,Yancheng,Jiangsu,224700,China)
出处
《当代医学》
2024年第32期158-161,共4页
Contemporary Medicine
关键词
骨科康复一体化模式
核心肌力训练
髋关节置换术
慢性疼痛
运动功能
Integrated orthopedic rehabilitation
Core muscle strength training
Hip Joint replacement
Chronic pain
Motor function
