以快速康复理念为指导的整体优化康复训练对老年肌少症全髋关节置换患者康复效果的影响OACSTPCD
Impact of Overall Optimized Rehabilitation Training Guided by the Con-cept of Rapid Rehabilitation on the Rehabilitation Effect of Elderly Patients with Sarcopenia Undergoing Total Hip Replacement
目的 探讨以快速康复理念为指导的整体优化康复训练对老年肌少症全髋关节置换患者康复效果的影响.方法 选取2020 年4 月—2023 年4 月收治的老年肌少症全髋关节置换患者126 例,按照随机数字表法分为研究组和常规组各63 例.常规组给予常规干预,研究组在常规组基础上给予基于快速康复理念制订的整体优化康复训练.比较2 组康复指标、肺活量、优势手握力、简易躯体能力测试(SPPB)、髋关节功能[Harris髋关节功能评分量表(Harris)]、负性情绪、自我管理能力、日常生活能力[日常生活能力量表(ADL)]及视觉模拟评分法(VAS)评分.结果 研究组下床活动、进食、肛门排气、住院时间短于常规组(P＜0.01).研究组术后 1、6 个月后肺活量、优势手握力、SPPB评分、Harris评分、自我管理能力评分高于常规组,负性情绪、ADL评分低于常规组(P＜0.05,P＜0.01).出院当天、术后1 个月,研究组VAS评分[(2.03±0.31)、(0.75±0.21)分]均低于常规组[(3.14±0.35)、(1.26±0.39)分](P＜0.05,P＜0.01).结论 以快速康复理念为指导的整体优化康复训练可促进老年肌少症全髋关节置换患者病情康复,改善术后优势手握力、肺功能,调节患者情绪状态,促进患者躯体功能、髋关节功能恢复,并提升患者自我管理能力及日常生活能力.
Objective To explore the impact of overall optimized rehabilitation training guided by the concept of rap-id rehabilitation on the rehabilitation effect of elderly patients with sarcopenia undergoing total hip replacement.Methods A total of 126 elderly patients undergoing total hip replacement for sarcopenia treated from April 2020 to April 2023 were selected and divided into research group(n=63)and conventional group(n=63)according to random number table method.The conventional group was given conventional intervention,and the research group was given overall optimized rehabilitation train-ing based on the concept of rapid rehabilitation.Rehabilitation indexes,lung capacity,dominant handgrip strength,short physical performance battery(SPPB),hip function[Harris Hip Function Scale(Harris)],negative emotions,self-manage-ment ability,ability of daily living(ADL)and visual analog scale(VAS)score were compared between the two groups.Re-sults The first time of off-bed activity,food intake,anal exhaust and length of hospitalization in the research group were shorter than those in the conventional group(P＜0.01).The lung capacity,dominant handgrip strength,SPPB score,Harris score and self-management ability of the research group were higher than those of the conventional group at 1 and 6 months af-ter surgery,while the scores of negative emotion,ADL were lower than those of the conventional group(P＜0.05,P＜0.01).On the day of discharge and at 1 month after surgery,VAS scores[(2.03±0.31)and(0.75±0.21)points]in the re-search group were lower than those in the conventional group[(3.14±0.35)and(1.26±0.39)points](P＜0.05,P＜0.01).Conclusion The overall optimized rehabilitation training guided by the concept of rapid rehabilitation can promote the rehabilitation of elderly patients undergoing total hip replacement for sarcopenia,improve dominant handgrip strength and lung function after surgery,regulate the emotional state of patients,promote the recovery of physical function and hip function,and improve the self-management ability and ADL of patients.
杜晓松;周美;王威;孟小娜;才达;张净宇
063000 河北唐山,唐山市第二医院康复科063000 河北唐山,唐山市第二医院骨病科063000 河北唐山,唐山市第二医院创伤科063000 河北唐山,唐山市第二医院创伤研究所
临床医学
肌少症关节成形术,置换,髋快速康复理念康复训练髋关节功能日常生活活动疼痛,手术后
SarcopeniaArthroplasty,replacement,hipRapid rehabilitation conceptRehabilitation trainingHip functionActivities of daily LivingPain,postoperative
《临床误诊误治》 2024 (007)
48-53 / 6
河北省2021年度医学科学研究课题计划(20210819)
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