Abstract:

Objective　To analyze the impacts of progressive rehabilitation treatment on hip joint function and walking function in patients after hip replacement surgery. Methods　A prospective randomized controlled trial was used to select 84 patients who underwent hip replacement treatment in Shaanxi Provincial Nuclear Industry 215 Hospital and Xianyang First People's Hospital from February 2022 to February 2024. They were randomly divided into a control group and a study group by the computer numbering, with 42 cases in each group. In the control group, there were 24 males and 18 females, aged 36-73 (51.21±5.45) years, 17 cases on the left side and 25 cases on the right side. In the study group, there were 23 males and 19 females, aged 38-76 (51.45±5.29) years, 19 cases on the left side and 23 cases on the right side. The control group received routine muscle strength and joint movement training. The study group was given a progressive rehabilitation program. Both groups were treated for 12 weeks. The hip joint function and walking function were compared between the two groups before and after treatment. t test was used for statistical analysis. Results　After treatment, the scores of pain, function, and range of motion of the Harris score table in the study group were higher than those in the control group [(39.45±3.41) points vs. (34.18±3.20) points, (44.12±3.85) points vs. (38.65±3.57) points, (4.18±0.33) points vs. (3.27±0.85) points], with statistically significant differences (t=7.303, 6.752, and 6.468, all P<0.05). The step length, step width, walking speed, step frequency, and rating of the Holden Functional Ambulation Scale in the study group were all better than those in the control group [(0.45±0.10) m vs. (0.40±0.09) m, (11.09±1.09) cm vs. (13.18±1.12) cm, (0.80±0.20) m/s vs. (0.71±0.18) m/s, (1.51±0.26) steps/s vs. (1.31±0.25) steps/s, 3.85±0.48 vs. 3.35±0.69], with statistically significant differences (t=2.409, 8.667, 2.168, 3.593, and 3.855, all P<0.05). Conclusion　Progressive rehabilitation therapy can improve the hip joint function and walking function in patients after hip replacement surgery.

Key words:

Hip replacement, Progressive rehabilitation, Hip joint function, Walking function

摘要：

目的　分析渐进式康复治疗方案对髋关节置换患者术后髋关节功能与步行功能的影响。方法　采用前瞻性随机对照试验，选取陕西省核工业二一五医院和咸阳市第一人民医院2022年2月至2024年2月进行髋关节置换治疗的84例患者为研究对象。采用计算机编号随机分组法分为对照组与研究组，各42例。对照组：男24例、女18例，年龄36～73（51.21±5.45）岁；患髋：左侧17例、右侧25例；予以常规肌力与关节活动训练。研究组：男23例、女19例，年龄38～76（51.45±5.29）岁；患髋：左侧19例、右侧23例；予以渐进式康复治疗方案。两组均连续治疗12周。比较两组治疗前后髋关节功能和步行功能。统计学方法采用t检验。结果　治疗后，研究组Harris评分表中疼痛、功能、活动范围评分均高于对照组［（39.45±3.41）分比（34.18±3.20）分、（44.12±3.85）分比（38.65±3.57）分、（4.18±0.33）分比（3.27±0.85）分］，差异均有统计学意义（t=7.303、6.752、6.468，均P<0.05）；研究组步长、步宽、步行速度、步频及Holden功能性步行量表评级均优于对照组［（0.45±0.10）m比（0.40±0.09）m、（11.09±1.09）cm比（13.18±1.12）cm、（0.80±0.20）m/s比（0.71±0.18）m/s、（1.51±0.26）步/s比（1.31±0.25）步/s、（3.85±0.48）级比（3.35±0.69）级］，差异均有统计学意义（t=2.409、8.667、2.168、3.593、3.855，均P<0.05）。结论　髋关节置换患者术后行渐进式康复治疗方案能够改善髋关节功能和步行功能。

关键词:

髋关节置换, 渐进式康复, 髋关节功能, 步行功能