摘要目的 探讨术后早期康复训练对高龄髋关节置换患者功能恢复的影响.方法 共选取95例髋关节置换息者,根据患者年龄将其划分为高龄组(年龄≥80岁)及非高龄组(年龄＜80岁).于手术前发给每位患者一本康复指导手册,主要向患者介绍手术前后康复训练要点.在康复医师指导下.2组患者于手术前后参照该手册进行早期康复训练.本研究于术前及术后6个月时分别采用WOMAC量表和SF-36量表对患者髋关节功能及全身健康状况进行评定.结果 2组患者在治疗过程中无一例发生栓塞性并发症.通过比较WOMAC评分结果发现,2组患者髋关节疼痛、功能、僵硬情况均较治疗前明显改善(均P＜0.05),除高龄组患者术后6个月时髋关节僵硬评分显著优于非高龄组外(P＜0.05),其它各项指标组间差异均无统计学意义(P＞0.05);比较SF-36评分结果发现,2组患者健康状况均较治疗前明显改善(均P＜0.05),除情感职能、精神状态评分2组间差异有统计学意义外(P＜0.05),其余各项指标组间差异均无统计学意义(P＞0.05).结论 术后早期康复训练对高龄及非高龄髋关节置换患者疗效相当,均能显著促进患者术后髋关节功能恢复.

abstractsObjective To evaluate the effect of early poatoperative rehabilitation on functional recovery of elderly patients post hip replacement. Methods Ninety-five patiens who had received primary hip replacement were included in this study. They were divided into and elderly group (age≥80 years) and a non-elderly group (＜80 years). Before the operation each patient was given a guidebook describing the rehabilitation program during the hospitalizaation period pre-operation and post-operation. Guided by a therapist, the patients' rehabilitation training was carried out in accordance with the guidebook. Patients were evaluated immediately prior to surgery and 6 months postoperation. Hip function and health-related quality of life were evaluated with self-administered WOMAC and SF-36 health questionnaires. Results None of the patients suffered post-operative pulmonary embolism or other complications. Comparing the WOMAC scores of the two groups, hip pain, function, and stiffness were all improved in both groups, There were no significant age-related differences, except that the patients in the elderly group reported less hip stiffness at 6 months post-operation. The SF-36 scores in the two groups showed that health-related quality of life improved. There were no significant differences between the physical component scores or mental component scores of the 2 age groups. Conclusion The effects of early post-operative rehabilitation on aged patients were simliar to those with younger patients. Early postoperative rehabiltation can improve functional recovery in both aged and younger patients.