摘要
目的研究不同的康复手法操作对脑卒中患侧人工髋关节置换术后康复的影响,并观察其疗效。方法将脑卒中患侧人工髋关节置换术的患者34例分为2组,其中22例采用常规的人工髋关节置换康复程序进行手法训练,作为对照组;12例在常规程序训练基础上,加入了一些有一定操作难度的新手法,并引用部分脑卒中髋关节康复训练手法,作为观察组。分别于2周后、3个月后、6个月后进行随访。采用髋关节Harris评分表、Kendall百分比肌力分级标准及Berg平衡量表进行比较。结果观察组在肌力、关节功能、平衡协调能力、减轻疼痛等方面优于对照组,2组之间差异比较具有统计学意义(P<0.05)。结论新的手法操作及引用部分脑卒中髋关节康复训练手法可以作为脑卒中患侧人工髋关节置换术后常规康复的一个补充。
Objective To observe the effect of different rehabilitative techniques on hemiplegia extremity in stroke patient treated with hip replacement.Methods Thirty-four patient who had femoral neck fracture on the hemiplegia extremity were treated with hip replacement,and followed at two-week,three-month,six-month post-operation respectively.Twenty-two case had regular rehabilitation programs（control group）,twelve case had new techniques and cited some stroke rehabilitation training techniques on the basis of regular rehabilitation programs（observe group）.The effects was evaluated with Harris Hip score,Kendall-Percentage of muscle strength grading standards and Berg Balance Scale.Results The observe group got significant improvement in muscle strength,hip function,balance-coordination and pain-release（P0.05）.Conclusion New techniques and some stroke rehabilitation techniques can be used as a supplement of regular rehabilitation programs on hemiplegia extremity in stroke patient treated with hip replacement.
出处
《首都医科大学学报》
CAS
北大核心
2010年第6期812-816,共5页
Journal of Capital Medical University
关键词
髋关节置换术
脑卒中
偏瘫
康复训练
效果评价
hip replacement
stroke
hemiplegia
rehabilitation programs
effect evaluation
