|本期目录/Table of Contents|

[1]彭国常,季文洁,应璞,等.基于渐进模型的运动处方对老年髋关节置换患者功能性步行能力的影响[J].医学研究与战创伤救治(原医学研究生学报),2022,24(1):18-22.[doi:10.3969/j.issn.1672-271X.2022.01.004]
　PENG Guo-chang,JI Wen-jie,YING Pu,et al.Effects of exercise prescription based on progressive model on functional walking ability in elderly patients with hip replacement[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2022,24(1):18-22.[doi:10.3969/j.issn.1672-271X.2022.01.004]
点击复制

基于渐进模型的运动处方对老年髋关节置换患者功能性步行能力的影响()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第24卷
期数:
2022年1期
页码:
18-22
栏目:
临床研究
出版日期:
2022-02-20

文章信息/Info

Title:
Effects of exercise prescription based on progressive model on functional walking ability in elderly patients with hip replacement
作者:
彭国常; 季文洁; 应璞; 周渊; 蒋晓伟; 罗斌; 沈影超
作者单位：239300天长，天长市人民医院骨科（彭国常）；215500常熟，南京中医药大学常熟附属医院骨科（季文洁、应璞、周渊、蒋晓伟、罗斌、沈影超）
Author(s):
PENG Guo-chang;  JI Wen-jie; YING Pu; ZHOU Yuan; JIANG Xiao-wei;  LUO Bin; SHEN Ying-chao
(1.Department of Orthopedic Surgery, Tianchang Municipal First People’s Hospital, Tianchang 239300, Anhui, China; 2.Department of Orthopedic Surgery, Changshu Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Changshu 215500, Jiangsu, China)
关键词:
渐进模型; 运动处方; 全髋关节置换术; 步行能力
Keywords:
progressive model; exercise prescription; total hip arthroplasty; ability to walk
分类号:
R687.3
DOI:
10.3969/j.issn.1672-271X.2022.01.004
文献标志码:
A
摘要:
目的制订基于渐进模型的适合老年髋关节置换患者的运动处方，对老年患者进行术后处方化的康复训练，探讨其临床效果。方法选取60例接受髋关节置换术的老年患者，按照随机数字表法纳入对照组和处方组，对照组予以常规护理和肌力训练，处方组予以渐进模型的运动处方化进行管理。对2组患者在术后1个月末、3个月末进行起立-走时间测定和髋关节功能Harris评分比较；在术前和术后进行Berg平衡量表评分。结果术后1个月末的起立-行走时间处方组为（35.01±3.70）s、对照组为（36.94±3.26）s；在3个月末，处方组为（32.15±3.04）s、对照组为（34.44±2.83）s；处方组较对照组时间缩短，差异有统计学意义(t=-2.147,P<0.05；t=-3.015，P<0.05）。术后1个月末，处方组Harris评分为(48.83±6.56）分、对照组为(42.47±7.49）分；在3个月末，处方组为（77.03±6.78）分、对照组为（66.60±8.60）分；处方组1个月末和3个月末Harris评分均优于对照组，差异有统计学意义(P<0.01）。术后Berg平衡量表评分处方组为（43.90±4.15）分、对照组为（41.73±2.78）分，处方组较对照组高，差异有统计学意义(P<0.05）。结论基于渐进模型的运动处方管理方案能够能更好地促进老年髋关节置换患者的姿势变换、步行能力和平衡功能等的恢复。
Abstract:
ObjectiveExercise prescription for elderly patients with hip arthroplasty was formulated based on a progressive model, and prescription rehabilitation training was conducted for elderly patients after total hip arthroplasty or artificial femoral head arthroplasty, and its effect was discussed.MethodsSixty elderly patients receiving hip arthroplasty were selected and included into the control group and the observation group according to a random number table method. The control group was given routine nursing and muscle strength training guidance, and the observation group was administered with an exercise prescription based on the progressive model.At the end of the first month and the end of the third month after operation, the stand-up time and walking time were measured and the Harris score of hip joint function was compared between the two groups.The Berg Balance Scale was scored preoperatively and postoperatively.ResultsThe time of standing and walking at the end of the first month after operation was (35.01±3.70)s in the observation group and (36.94±3.26)s in the control group.At the end of 3 months, the time in the observation group was (32.15±3.04)s and that in the control group was (34.44±2.83)s. The time in the observation group was shorter than that in the control group, and the difference was statistically significant (t=-2.147, P<0.05; t=3.015, P<0.05). Harris score at the end of the first month after surgery was (48.83±6.56) in the observation group and (42.47±7.49) in the control group.At the end of the third month, it was (77.03±6.78) in the observation group and (66.60±8.60) in control group. Harris score of the observation group at the end of the first and the end of the third month was better than those of the control group, and the difference was statistically significant (P<0.05). Postoperative Berg Balance Scale score was (43.90±4.15) in the observation group and (41.73±2.78) in the control group, which was higher in the observation group than the control group, and the difference was statistically significant (P<0.05).ConclusionThe exercise prescription management scheme based on progressive model can better promote the recovery of posture change, walking ability and balance function in elderly patients with hip replacement.

参考文献/References:

[1]何梅,陈晓莉.康复训练对全髋关节置换术后康复效果的系统评价[J]．中国康复医学杂志,2017,32(1):71-77．
[2]姚新苗.中医骨伤科临床诊疗指南·人工髋关节置换围手术期康复专家共识［J］. 康复学报，2017，27（4）：1-6.
[3]谢瑾蕙,薛桂月,李荣源.量化运动处方对中老年2型糖尿病患者平衡能力的影响[J].中国老年学杂志,2019,12(39):6009-6012.
[4]Wang J, Siddicky SF, Dohm MP, et al. Kinematic and Kinetic Changes after Total Hip Arthroplasty during Sit-To-Stand Transfers: SystematicReview[J]. Arthroplasty Today, 2021, 7:148-156.
[5]任娜, 刘晓艳, 章艳. 循序渐进式康复护理干预对老年胸腰椎压缩性骨折术后功能恢复的影响[J]. 贵州医药, 2020, 44(2):143-144.
[6]赵全. 运动疲劳程度的评定及恢复[J]. 中国组织工程研究, 2001, 5(15):97-97.
[7]马书彬, 刘静霞. 中医外疗法在运动疲劳康复中的应用探究——以某市自行车运动训练队为研究对象[J]. 佳木斯职业学院学报, 2017(11):351-352.
[8]罗政, 高艳红, 孙志峰,等. 老年COPD患者运动训练处方实施方案的构建及应用[J]. 中华现代护理杂志, 2021, 27(3):291-297.
[9]谷斌,陈绪娜,张千坤,等. 全髋关节置换术后患者渐进式平衡训练方案的制订与应用[J]. 中华护理杂志, 2020, 55(10):20-26.
[10]董贤慧, 李力, 张鹏炜,等. 2型糖尿病酮症酸中毒患者饮食运动管理一例[J]. 中华健康管理学杂志，2020，14（4）：336-338.
[11]Bagce H, Lynch TS, Wong TT. Use of a 3D virtual dynamic hip model to quantify the amount of osteoplasty required in femoroacetabular impingement patients[J]. Clin Imaging, 2021, 69:293-300.
[12］Halvarsson A，Oddsson L，Franzén E，et al. Long-term effects of a progressive and specific balance-training programme with multi-task exercises for older adults with osteoporosis：a randomized controlled study［J]. Clin Rehabil，2016，30（11）：1049-1059.
[13］张慧鑫，陈健新，张瑞丽，等.双重任务与单一任务训练对老年人步态和平衡改善效果的Meta分析［J].中华护理杂志，2019， 54（9）：1400-1405.
[14]许荣梅, 张军鹏, 张雁儒,等. PNF拉伸训练联合穴位按摩对脑卒中偏瘫患者上肢功能恢复的影响[J]. 中华物理医学与康复杂志, 2021, 43(1):34-36.
[15]尹璐璐. 肌内效贴对慢性踝关节不稳定人群本体感觉和姿势控制的影响[D].上海：上海体育学院,2020.
[16]刘莉, 袁林. 循序渐进式康复护理联合营养膳食干预在老年骨折患者术后康复中的应用效果[J]. 国际护理学杂志, 2020, 39(15):2780-2782.
[17]徐国会，段林茹，沈利岩，等.躯干功能训练促进老年单侧全髋关节置换术后下肢肌力与平衡的研究[J].老年医学与保健,2017,23(3):149-151.
[18]韩雪, 刘云, 包倪荣,等. 改良式居家康复方案对膝关节置换术后患者干预效果的研究[J]. 东南国防医药, 2020, 22 (3):85-88.

相似文献/References:

备注/Memo

备注/Memo:
基金项目：常熟市科技局资助性课题（cswsq201701）
更新日期/Last Update: 2022-02-21