湖南师范大学学报（医学版）
湖南師範大學學報（醫學版）
호남사범대학학보（의학판）
Journal of Hunan Normal University (Medical Science)
2015年
5期
118-120
,共3页
周永%李兴全%黄力%李炼
週永%李興全%黃力%李煉
주영%리흥전%황력%리련
人工全髋关节置换术%康复训练%远期疗效%生活质量评分%影响
人工全髖關節置換術%康複訓練%遠期療效%生活質量評分%影響
인공전관관절치환술%강복훈련%원기료효%생활질량평분%영향
the sacroiliac joint arthroplasty%Rehabilitation training%the long-term curative effect%the quality of life score%Impact
目的：通过随访研究人工全髋关节置换术后康复训练对老年患者远期疗效的影响。方法：从2008年6月～2012年6月，于我院共有92例病患被诊断为关节骨折严重，需要进行人工全髋关节置换术。以数字随机法分成观察组（46例）和对照组（46例）。对照组进行置换术后进行抗感染的一般治疗和骨科的一般护理但是不进行康复训练，观察组除了一般的治疗和护理后还坚持每天做康复训练。对比两组，身体恢复情况。结果：两组患者在手术时间、术中出血量以及输血率之间比较差异无显著性意义，术后1年观察组并发症发生率较低，患者身体恢复情况优于对照组，差异均有统计学意义。术后定期进行髋关节功能Harris评分，其中，术后3天观察组与对照组疗效无显著性差异，而从术后2周起，观察组疗效明显高于对照组，两组比较差异具有统计学意义。结论：康复训练对刚做完人工全髋关节置换术的病患非常重要，值得我们注意。
目的：通過隨訪研究人工全髖關節置換術後康複訓練對老年患者遠期療效的影響。方法：從2008年6月～2012年6月，于我院共有92例病患被診斷為關節骨摺嚴重，需要進行人工全髖關節置換術。以數字隨機法分成觀察組（46例）和對照組（46例）。對照組進行置換術後進行抗感染的一般治療和骨科的一般護理但是不進行康複訓練，觀察組除瞭一般的治療和護理後還堅持每天做康複訓練。對比兩組，身體恢複情況。結果：兩組患者在手術時間、術中齣血量以及輸血率之間比較差異無顯著性意義，術後1年觀察組併髮癥髮生率較低，患者身體恢複情況優于對照組，差異均有統計學意義。術後定期進行髖關節功能Harris評分，其中，術後3天觀察組與對照組療效無顯著性差異，而從術後2週起，觀察組療效明顯高于對照組，兩組比較差異具有統計學意義。結論：康複訓練對剛做完人工全髖關節置換術的病患非常重要，值得我們註意。
목적：통과수방연구인공전관관절치환술후강복훈련대노년환자원기료효적영향。방법：종2008년6월～2012년6월，우아원공유92례병환피진단위관절골절엄중，수요진행인공전관관절치환술。이수자수궤법분성관찰조（46례）화대조조（46례）。대조조진행치환술후진행항감염적일반치료화골과적일반호리단시불진행강복훈련，관찰조제료일반적치료화호리후환견지매천주강복훈련。대비량조，신체회복정황。결과：량조환자재수술시간、술중출혈량이급수혈솔지간비교차이무현저성의의，술후1년관찰조병발증발생솔교저，환자신체회복정황우우대조조，차이균유통계학의의。술후정기진행관관절공능Harris평분，기중，술후3천관찰조여대조조료효무현저성차이，이종술후2주기，관찰조료효명현고우대조조，량조비교차이구유통계학의의。결론：강복훈련대강주완인공전관관절치환술적병환비상중요，치득아문주의。
ObjectiveTo study the rehabilitation training after artificial total sacroiliac joint replacement effects on long cura-tive effect in elderly patients.Methods From June 2008 to June 2012, a total of 92 cases of patients in our hospital diagnosed as severe articular fractures, requires all sacroiliac joint arthroplasty. In digital randomized divided into observation group (46 cases) and control group (46 cases). The control to the postoperative infection of general treatment and general care not of ortho-paedic rehabilitation training, on the basis of the observation group in the control group insisted on doing rehabilitation training every day. To compared to two groups, the body recovery.Results Two groups of patients in the operation time, intraoperative blood loss and blood transfusion rate there was no significant difference compare between meaning, lower postoperative com-plication rate of group 1 year, patients body recovery is better than that of control group, difference has statistical significance. Postoperative function Harris hip score on a regular basis, among them, three days after effect observation group and control group no significant difference, and from a 2 week postoperatively, the curative effect of observation group was obviously higher than that of control group, two groups of comparison difference is statisticaly significant.Conclusion Rehabilitation training to just finish the sacroiliac joint arthroplasty patients is very important, worthy of our attention.
