CAJ | 학술논문

目的探讨功能康复训练路径对全髋关节置换术后假体周围骨量变化的影响.方法采用2009年12月～2010年12月我院收治的46例股骨颈骨折和老年髋关节骨性关节炎患者,均行全髋关节置换手术.术后随机分为实验组利对照组.实验组术后除按骨科术后常规护理外,还结合病人机体状况遵照下肢功能康复训练路径指导患者早期功能锻炼；对照组遵照骨科手术后护理常规,所有患者进行平均14个月随访,随访时进行Harris髋关节评分,每个患者在术后l周、3个月、6个月和12个月进行骨密度检查.结果两组患者Harris髋关节评分无显著差异,所有患者术后12个月内股骨假体周围骨量均有显著降低.实验组术后3个月、6个月股骨近端骨量显著高于对照组,术后12个月两组骨量无显著差异.结论股骨假体周围骨密度反映假体周围骨丢失情况,应用下肢功能康复训练路径早期指导患者功能锻炼可减缓全髋关节置换术后假体周围的骨丢失,提高术后患者生活康复质量.
목적 탐토공능강복훈련로경대전관관절치환술후가체주위골량변화적영향.방법 채용2009년12월～2010년12월아원수치적46례고골경골절화노년관관절골성관절염환자,균행전관관절치환수술.술후수궤분위실험조리대조조.실험조술후제안골과술후상규호리외,환결합병인궤체상황준조하지공능강복훈련로경지도환자조기공능단련；대조조준조골과수술후호리상규,소유환자진행평균14개월수방,수방시진행Harris관관절평분,매개환자재술후l주、3개월、6개월화12개월진행골밀도검사.결과 량조환자Harris관관절평분무현저차이,소유환자술후12개월내고골가체주위골량균유현저강저.실험조술후3개월、6개월고골근단골량현저고우대조조,술후12개월량조골량무현저차이.결론 고골가체주위골밀도반영가체주위골주실정황,응용하지공능강복훈련로경조기지도환자공능단련가감완전관관절치환술후가체주위적골주실,제고술후환자생활강복질량.
Objective To investigate the effect of functional rehabilitation training path to the periprosthetic bone mass change after the total hip arthroplasty.Methods A total of 46 patients with femoral neck fractures and elderly patients with hip osteoarthritis from December 2009 to December 2010 who received total hip arthroplasty were selected and randomly divided into experimental group and control group.The experimental group received early physical therapy besides the routine care,while patients in the control group received routine care after orthopedic surgery.All patients were followed up an average of 14 months,Harris score and bone density were examined after lweek,3 months,6 months and 12 months.Results There was no significant difference in all patients in Harris hip score.Periprosthetic bone density was higher in experimental group than that in control group after 3 months and 6 months,but there was no significant difference between two groups after 12 months.Conclusions Early physical therapy of lower limb can reduce the total hip arthroplasty periprosthetic bone loss and improve postoperative quality of' life.