【作者】 白尚；

【导师】 张曦；

【作者基本信息】 南京中医药大学 ， 中医骨伤科学， 2010， 硕士

【摘要】 目的：本研究试图通过总结、归纳前人以及本人导师多年来在人工全髋置换术后功能康复方面所取得的宝贵经验,以及在预实验的基础上,探索出较目前所报道的相关人工全髋置换术后功能锻炼方法的一套系统的、合理的功能锻炼方法,拟在临床中加以验证,从而促进患者恢复体力,增加关节活动度,增强患肢肌力,降低术后并发症,提高生活质量。方法：按照纳入病例的标准选择单侧人工全髋置换术后的患者40例,并随机分为实验组(n=20)和对照组(n=20),分别对其指导系统性功能锻炼和常规性功能锻炼,同时记录每个观察时点所测得的数据,收集所有数据,进行统计学处理,比较二者是否具有显著性差异。结果：通过对髋关节活动度、患肢的肌力、功能独立性评定FIM的得分进行比较,实验组均明显优于对照组,两者相比P<0.05,差异有显著性。结论：系统性功能锻炼对于人工全髋置换术后患者的康复,是一套行之有效的功能锻炼方法,它具有系统性、科学性、渐进性、可操作性。它可促进患者恢复体力,增加髋关节的活动度,增强患肢肌力,有效降低因长期卧床带来的诸如呼吸系统、泌尿系统感染等并发症,明显提高患者的生活质量,从而提高手术的成功率。故其对髋关节疾病的术后治疗具有一定的临床指导意义。更多还原

【Abstract】 Objective:According to the precious experience of predecessors and my advisor on the functional rehabilitation after total hip replacement and basing on the results of our preliminary experiment, we want to find a set of method of functional rehabilitation after total hip replacement, which is more systemic and more scientific to recover the physical strength, increase the muscle power, lower the postoperative complications, and raise the quality of life.Methods:According to the choosing standard,40 patients with single lateral total hip replacement were randomly divided into experimental group (n=20) and control group (n=20). The experimental group received guidance of systemic functional exercise and the control group received guidance of routine functional exercise. The hip joint range of motion, the muscle force of affected limb and the function evaluation of affected limb of the two groups were measured and statistically compared.Results:The clinical effects of experimental group were better than control group. There were significant difference between two groups in hip joint range of motion, muscle force of affected limb, and the function evaluation of affected limb (P<0.05).Conclusion:The method of systemic functional exercise is helpful for postoperative functional rehabilitation of total hip replacement. It has characteristics of systemic, scientific, gradual, and operable. This method can promote the recovery of physical strength, increase the muscle power, lower the respiratory system and urinary system complications caused by long-term bed, and raise the quality of life. So the method of systemic functional exercise has very important directional significance for the treatment of hip joint diseases.更多还原