摘要
目的分析探讨核心肌群康复训练在老年股骨颈骨折人工关节置换术后康复中的应用效果。方法选取2020年1月至2022年6月河南省第二人民医院收治的60例老年股骨颈骨折患者作为研究对象,按照术后不同康复方法将其分为试验组(30例)和对照组(30例),试验组患者人工关节置换术后在常规康复训练基础上行核心肌群康复训练,对照组患者人工关节置换术后单纯行常规康复训练,对比观察两组患者髋关节功能、疼痛程度及不良事件发生情况。结果术后2、3个月,试验组患者Harris评分均明显高于对照组(t=6.009、5.644,P均<0.001);术后1、2、3个月,试验组患者视觉模拟评分法评分均明显低于对照组(t=2.454、3.587、3.473,P=0.017、0.001、0.001);试验组患者术后不良事件发生率为3.33%,明显低于对照组患者的术后不良事件发生率20.00%(χ^(2)=4.043,P=0.044)。结论与单纯行常规康复训练相比,在其基础上行核心肌群康复训练更能有效提高老年股骨颈骨折患者人工关节置换术后髋关节功能,降低患者疼痛程度与不良事件发生风险。
Objective To study the clinical efficacy of core muscle rehabilitation training in the rehabilitation of elderly patients after the artificial joint replacement for femoral neck fracture.Methods 60 old patients with femoral neck fracture admitted into The Second People’s Hospital of Henan Province from January 2020 to June 2022 were enrolled as research subjects and divided,according to the different postoperative rehabilitation methods they received,into the experi⁃ment group(n=30)and the control group(n=30).After the artificial joint replacement,patients in the experiment group received the core muscle rehabilitation training based on the conventional rehabilitation training,whereas patients in the control group received the conventional rehabilitation training alone.The hip joint function,pain degree,and occurrence of adverse events were compared between the two groups.Results Respectively on month 2 and 3 after surgery,the Harris scores of patients in the experiment group were significantly higher than those in the control group(t=6.009 and 5.644,both P<0.001);respectively on month 1,2 and 3 after surgery,the visual analogue scale scores of patients in the experiment group were significantly lower than those in the control group(t=2.454,3.587 and 3.473,P=0.017,0.001 and 0.001);the incidence of postoperative adverse reactions of patients in the experiment group was 3.33%,being much lower than 20.00%in the control group(χ^(2)=4.043,P=0.044).Conclusion Compared with the simple conventional rehabilitation training,the core muscle rehabilitation training in combination with the conventional rehabilitation training is more effective in improving hip joint function recovery of elderly patients after artificial joint replacement for femoral neck fracture,and reducing their pain degree and occurrence risk of adverse reactions.
作者
李飞霞
汪文录
梅德琴
LI Feixia;WANG Wenlu;MEI Deqin(Department of Orthopedics,The Second People’s Hospital of Henan Province,Zhengzhou,Henan 451191,China)
出处
《中国烧伤创疡杂志》
2024年第6期468-471,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
关键词
核心肌群
康复训练
老年
股骨颈骨折
人工关节置换术
髋关节功能
Core muscle
Rehabilitation training
Elderly
Femoral neck fracture
Artificial joint replacement
Hip joint function
