全髋关节置换术前综合性干预对术后康复的影响

目的 探讨全髋关节置换术前综合性干预对术后康复效果的影响.方法 选择择期行全髋关节置换手术的患者80例,用抽签法随机分为实验组和对照组(各40例).实验组术前接受心理干预、并掌握排尿功能及肢体功能康复训练方法,对照组术前只了解常规指导,2组术后的康复训练程序完全一致.比较术后心理状态、第一次排尿情况及术后第1、3个月末临床康复效果评价.结果 实验组术后心理状态明显优于对照组,差异有统计学意义(P＜0.05);患者第1次能自行排尿的情况明显优于对照组,差异有统计学意义(P＜0.01);实验组第4周末康复训练计划完成量多于对照组,差异有统计学意义(P＜0.05).术后第1,3个月时,实验组的置换髋关节功能评分分别显著高于对照组,2组间差异有统计学意义(P＜0.05). 结论术前综合干预,可提高术后肢体早期功能训练的效率,减少术后并发症,早日恢复肢体功能.

Influence of comprehensive intervention before total hip replacement on postoperative rehabilita-tion

Objective To study the influence of comprehensive intervention before total hip re-placement on patients' postoperative rehabilitation. Methods Eighty patients underwent total hip joint replacement were randomly divided into the experimental group and the control group. Psychological inter-vention,urination exercise and rehabilitation education and practice were performed before operation in the experimental group.Tbe control group had none of the education and exercise besides of routine instruction. Postoperative rehabilitative exercise was the same in the two groups. Posoperative psychological state, the first urination and clinical rehabilitation at the end of the first and third months were evaluated. Re-suits The psychological state after operation in the experimental group was significantly better than the control group (P＜0.05).The first urination of the experimental group was significantly better than the con-trol group (P＜0.01). Completion of rehabilitation exercise at the end of the 4th week of the experimental group was more than the control group(P＜0.05). The functional score of the replacement hip of the exper-imental group was higher than the control group the end of first and third months(P＜0.05) after operation.Conclusions comprehensive intervention before operation can raise the efficacy of rehabilitation training and reduce complications after operation and so can make the patients recover more quickly.