摘要
目的观察医养结合模式对老年患者髋关节置换术后恐动症发生情况、髋关节功能改善情况、日常活动能力的影响。方法选择蚌埠医学院第一附属医院2016年12月—2017年12月期间80例行髋关节置换术的老年患者,随机分为对照组与观察组,各40例。对照组术后给予常规康复训练,观察组给予医养结合模式的康复训练,比较2组近期疗效、术后恐动症发生情况、术后髋关节功能改善情况及日常活动能力改善情况。结果 2组治疗后12 h疼痛强度、72 h睡眠时间、首次下床时间、住院时间差异无统计学意义(均P>0.05)。观察组术后恐动症发生率为2.50%,显著低于对照组术后恐动症发生率(20.00%,P<0.05)。2组治疗后6个月Harris评分均显著高于同组治疗前,观察组治疗后6个月Harris评分显著高于对照组(91.58±8.12 vs. 81.24±8.04,P<0.05)。2组治疗后6个月ADL评分均显著低于同组治疗前,观察组治疗后6个月ADL评分显著低于对照组(15.12±1.53 vs. 16.86±1.67,P<0.05)。结论采用医养结合模式的康复训练,可显著提高患者近期疗效,降低术后恐动症发生率,改善髋关节功能及日常活动能力,值得临床推广应用。
Objective To observe the role of the mode of combination of medical care and pension in improving panic disorder and rehabilitation quality of elderly patients after hip replacement. Methods Eighty elderly patients undergoing hip replacement in our hospital between December 2016 to December 2017 were selected and randomly divided into control group and observation group with 40 cases in each group. The control group was given routine rehabilitation training after the operation, and the observation group was given rehabilitation training with the mode of the combination of medical care and pension. The short-term efficacy, occurrence of postoperative panic disorder, and improvement of postoperative hip function and daily living activity of patients were compared between the two groups. Results There was no significant difference in preoperative pain intensity at 12 h from the end of the operation, sleep length in 72 h, time to ambulation and length of hospital stay between the two groups(all P>0.05). The incidence rate of postoperative panic disorder in the observation group was significantly lower than that in the control group(2.50% vs. 20.00%), P<0.05. The Harris score in both groups at 6 months after the treatment was significantly higher than those in the same group before the treatment, and the Harris score in the observation group was significantly higher than that in the control group(91.58±8.12 vs.81.24±8.04), P<0.05. The ADL score in both groups at 6 months after treatment was significantly lower than those in the same group before the treatment, and the ADL score in the observation group was significantly lower than that in the control group(15.12±1.53 vs.16.86±1.67), P<0.05. Conclusion The rehabilitation training with combination of medical care and pension can significantly improve the short-term efficacy of patients undergoing hip replacement, reduce the incidence rate of postoperative panic disorder, improve hip function and daily living activity, and it is worthy of clinical promotion and application.
作者
朱仲廉
王照东
高许斌
王旭义
胡海贝
吴敏
赵志
ZHU Zhong-lian;WANG Zhao-dong;GAO Xu-bin(Department of Orthopedics,the First Affiliated Hospital of Bengbu Medical College, Hengbu,Anhui 233004,China)
出处
《中华全科医学》
2019年第6期947-950,共4页
Chinese Journal of General Practice
基金
安徽省教育厅重点项目(SK2018A1077)
关键词
医养结合
老年
髋关节置换术
恐动症
康复
Mode of the combination of medical care and pension
Elderly
Hip replacement
Panic disorder
Rehabilitation
