| 孙忠丽,许蕊.核心肌群训练对高龄股骨颈骨折关节置换术后康复及并发症的影响[J].安徽医药,2020,24(7):1359-1362. |
| 核心肌群训练对高龄股骨颈骨折关节置换术后康复及并发症的影响 |
| The effect of core muscle group training on rehabilitation and complications of elderly patients with femoral neck fracture after joint replacement |
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| DOI：10.3969/j.issn.1009?6469.2020.07.022 |
| 中文关键词: 股骨颈骨折/康复 关节成形术，置换，髋 运动疗法 老年人 核心肌群训练 |
| 英文关键词: Femoral neck fractures/rehabilitation Arthroplasty,replacement,hip Exercise therapy Elderly Core muscle group training |
| 基金项目:四川省卫生和计划生育委员会科研课题( 16PJ156) |
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| 中文摘要: |
| 目的探究核心肌群训练对高龄股骨颈骨折病人行关节置换术后康复及并发症的影响。方法将 2016年 3月至 2018年 9月在九〇三医院行髋关节置换术的 90例股骨颈骨折病人作为研究对象，按照随机数字表法将其分为观察组( 47例)和对照组( 43例)进行随机对照研究。两组病人均在术后接受常规术后康复训练，观察组病人则在此基础上加入核心肌群训练，首先从上肢肩带肌群开始进行训练，期间同时进行扩胸运动，之后进行脊柱核心肌群训练。对比两组病人在训练前后的视觉模拟评分( VAS评分)、 Harris髋关节评分以及改良 Brathel指数( MBI)及并发症发生情况。结果两组病人在训练前的 VAS评分、 Harris评分和 MBI评分比较差异无统计学意义( P＞0.05)。观察组病人在训练后 2周、 4周、 8周和 16周的 VAS评分分别为(4.16±1.18)分、(2.56±0.54)分、(1.64±0.31)分、(1.23±0.24)分，均明显低于对照组( 4.74±1.26)分、(3.03±0.73)分、(2.05±0.49)分、(1.86±0.38)分；观察组病人在训练后 2周、 4周、 8周和 16周的 Harris评分分别为( 51.44±10.03)分、(69.71±11.59)分、(78.22± 12.03)分、(86.79±13.25)分， MBI评分分别为( 56.79±7.54)分、(64.83±8.64)分、(76.42±10.22)分、(87.49±13.26)分， Harris评分和 MBI评分均明显高于对照组［分别为( 43.27±9.16)分、(58.25±10.08)分、(64.34±11.16)分、(71.48±12.14)分和( 47.35±6.66)分、(51.34±7.17)分、(68.03±9.14)分、(76.21±11.03)分］差异有统计学意义( P＜0.05)。观察组的并发症发生率为 10.64%，明显低于对照组( 27.91%)，差异有统计学意义( P＜0.05)高龄股骨颈骨折病人在关节置换术后进行核心肌群训练，能够使其。结论，躯干稳定性得到显著提升，能够显著降低术后并发症的发生，有助于病人髋关节功能和日常生活能力的快速恢复，值得在临床上积极推广。 |
| 英文摘要: |
| Objective To research the effect of core muscle group training on rehabilitation and complications of elderly patientswith femoral neck fracture after joint replacement.Method From March 2016 to September 2018，90 patients with femoral neckfracture who underwent hip joint replacement in 903 hospital were taken as the research object.According to the random number ta?ble method，they were divided into observation group(47 cases)and control group(43 cases)for a randomized controlled study.The patients in two groups received routine rehabilitation training after operation.And the patients in the observation group joinedcore muscle group training on this basis.First，the training started from the shoulder belt muscle upper limbs.During this period， chest expansion was carried out，then the core muscle group of spine was trained.The visual simulation score(VAS)，Harris hip score，modified Brathel index(MBI)and complications of the two groups before and after training were compared.Results There were no significant differences in VAS score，Harris score and MBI score between the two groups before training(P＞0.05).At 2 weeks，4 weeks，8 weeks and 16 weeks after training，the VAS scores of the patients in the observation group were(4.16±1.18)，(2.56±0.54)(1.64±0.31)(1.23±0.24)respectively，which were significantly lower than those in the control group(4.74±1.26)，(3.03±0.73)(，2.05±0.49)(，1.86±0.38)； the Harris scores of the patients in the observation group were(51.44±10.03)，(69.71± 11.59)，(78.22，±12.03)，(86，.79±13.25)respectively；and the MBI scores were(56.79±7.54)，(64.83±8.64)，(76.42±10.22)，(87.49±13.26)respectively.The Harris scores and MBI scores were significantly higher than those of the control group(43.27± 9.16)(58.25±10.08)(64.34±11.16)(71.48±12.14)and(47.35±6.66)(51.34±7.17)，(68.03±9.14)and(76.21±11.03)respec? tively，a，nd the differenceswerestatistic，allysignificant(P＜0.05).Theinc，idence of complications in the observation group was 10.64%，which was significantly lower than that in the control group(27.91%)， the difference was statistically significant(P＜ 0.05).Conclusion Core muscle group training in elderly patients with femoral neck fracture after hip joint replacement can signifi?cantly improve trunk stability，and can significantly reduce the incidence of postoperative complications.It is conducive to the rapidrecovery of hip function and daily living ability of patients，and worthy of active promotion in clinical practice. |
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