CPM锻炼仪联合渐进式功能锻炼对髋关节置换术患者预后的影响

目的 观察分析CPM锻炼仪联合渐进式功能锻炼对髋关节置换术后患者康复情况的影响.方法 选取2015年1月至2016年9月于本院行髋关节置换术的股骨颈骨折患者88例,采用数字随机法均分为观察组(n=44)与对照组(n=44).对照组患者给予常规自我锻炼,观察组患者给予CPM锻炼仪联合渐进式功能锻炼,对比两组患者的康复效果.结果 观察组患者术后3个月髋关节功能优良率88.64％显著高于对照组的70.45％,两组比较差异有统计学意义(P＜0.05).观察组患者术后1个月、2个月、3个月的Harris髋关节功能评分显著高于对照组(P＜0.05).观察组患者的术后并发症发生率6.82％,显著低于对照组的22.73％,两组比较差异有统计学意义(P＜0.05).观察组患者治疗后1、2、3个月的生活质量评分(57.64±7.35)、(76.16±8.47)、(82.88±9.16)]显著高于对照组(P＜0.05).结论 CPM锻炼仪联合渐进式功能锻炼能够促进髋关节置换术后患者的康复,改善髋关节功能,提高生活质量,具有临床推广使用价值.

Effect of CPM exercise instrument combined with progressive functional exercise on the prognosis of patients undergoing hip replacement

Objective To observe the effect of CPM exercise instrument combined with progressive functional exercise on the rehabilitation of patients after hip replacement surgery.Methods 88 patients with femoral neck fracture undergoing hip replacement from January 2015 to September 2016 in our hospital were randomly divided into observation group (n=44) and control group (n=44).The control group took routine self-exercise,while the observation group took CPM exercise instrument combined with progressive functional exercise.The rehabilitation effect of the two groups were compared.Results The excellent and good rate of hip joint function 3 months after surgery in the observation group (88.64％) was significantly higher than that in the control group (70.45％),with statistically significant difference between the two groups (P＜0.05).Harris score of hip joint function in the observation group 1,2,3 months after surgery were significantly higher than those in the control group (P＜0.05).The postoperative complication rate in the observation group (6.82％) was significantly lower than that in the control group (22.73％),with statistically significant difference between the two groups (P＜0.05).The score of life quality in the observation group 1,2,3 months after surgery (57.64±7.35),(76.16±8.47),(82.88±9.16)] were significantly higher than those in the control group (P＜0.05).Conclusion CPM exercise instrument combined with progressive functional exercise can promote the rehabilitation of patients with hip replacement,improve the function of hip joint and the quality of life,worthy of clinical promotion.