全髋关节置换后的康复训练程序

背景：全髋关节置换后的康复训练对置换后患者肢体康复起非常重要的作用。目的：回顾分析全髋关节置换后康复训练程序的组成、方法、效果评价、发展及存在的问题。方法：以＂全髋关节置换,康复,物理治疗,功能锻炼＂为中文关键词,以＂totalhip arthroplasty;total hip replacement;physical rehabilitation;rehabilitation trainning＂为英文关键词,采用计算机检索CNKI和Medline数据库1996-01/2012-02关于全髋关节置换后康复训练的文章。结果与结论：全髋关节置换后的康复训练内容主要以体位护理、运动疗法为主,并可配合以人工按摩及磁疗、电疗、超声波疗法等。采用运动疗法时,要注意循序渐进原则,由最初的被动运动,逐渐过渡到主动运动。根据手术类型、假体种类、患者情况等选择合适的康复训练程序可明显提高患者患侧髋关节功能恢复的速度和质量。

The rehabilitation procedure following total hip arthroplasty

BACKGROUND：The rehabilitation training plays an important role in the physical rehabilitation of patients after total hip arthroplasty. OBJECTIVE：To take retrospective analysis of the articles about the composition,methods,outcome evaluation,development and problems of total hip arthroplasty rehabilitation procedure.METHODS：A computer-based online search of PubMed database and CNKI database was performed for articles regarding the rehabilitation training following total hip anthroplasty,with the key words of ＂total hip arthroplasty;total hip replacement;physical rehabilitation;rehabilitation trainning＂ in English and Chinese. RESULTS AND CONCLUSION：The rehabilitation training after total hip arthroplasty is mainly depend on posture nursing and physical therapy,combined with manual massage and magnetic therapy,electrotherapy and ultrasound therapy,etc.When using the exercise therapy,we should pay more attention to the proper sequence principle;the active exercise should be gradually transited from the initial passive exercise.The appropriate rehabilitation training program,which is selected according to the type of surgery,prosthesis and patients,can significantly improve the functional recovery of patients after total hip arthroplasty.