基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术患者中的应用效果

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中文摘要：目的探讨基于快速康复理念的线上线下整体优化干预在伴肌少症老年全髋关节置换术(THA)患者中的应用效果.方法选取2021 年4 月—2023 年4 月收治的104 例伴肌少症老年THA,根据干预方法不同分为对照组、观察组,各52 例.对照组予以常规围手术期干预,在此基础上,观察组予以基于快速康复理念的线上线下整体优化干预.对比2 组住院情况、不良事件发生率、依从性、视觉模拟评分法(VAS)、简易躯体执行能力测试量表(SPPB)、髋关节伤残和骨关节炎问卷(HOOS)、Harris髋关节功能及Barthel指数评分.结果观察组首次下床时间、首次排便时间、住院时间均短于对照组(P<0.01);观察组术后3d、术后7dVAS评分均低于对照组(P<0.05);观察组不良事件总发生率3.85%(2/52)低于对照组 17.31%(9/52)(P<0.05);观察组总依从度 96.15%(50/52)高于对照组78.85%(41/52)(P<0.01);术后1 个月、3 个月观察组SPPB、HOOS及Harris、Barthel指数评分均较对照组高(P<0.05).结论基于快速康复理念的线上线下整体优化干预应用于伴肌少症老年THA患者中,可降低患者术后疼痛感,减少不良事件,提升依从性,促进髋关节及躯体功能好转,有助于患者预后恢复.

外文标题：Application Effect of Online and Offline Holistic Optimised Rehabilitation Training Based on the Concept of Rapid Rehabilitation in Elderly Patients with Sarcopenia Undergoing Total Hip Arthroplasty

外文摘要：Objective To investigate the application effect of online and offline holistic optimization intervention based on the concept of rapid rehabilitation in elderly patients with sarcopenia undergoing total hip arthroplasty(THA).Methods A total of 104 elderly patients with sarcopenia admitted to our hospital from April 2021 to April 2023 who under-went THA were selected and divided into a control group(n =52)and an observation group(n =52)according to the differ-ent intervention methods.The control group was given conventional perioperative interventions,and on this basis,the observa-tion group was given the online and offline holistic optimization interventions based on the concept of rapid rehabilitation.Hos-pitalization,incidence of adverse events,compliance,visual analogue scale(VAS),short physical performance battery(SPPB),hip disability and osteoarthritis outcome score(HOOS),Harris hip function and Barthel Index(BI)scores were compared between the two groups.Results The first time of off-bed activity,the first time of defecation and the length of hospitalization in the observation group were shorter than those in the control group(P<0.01).VAS scores of the observation group were lower than those of the control group at 3 and 7 days after surgery(P<0.05).The total incidence of adverse e-vents in the observation group was 3.85%(2/52),which was lower than that in the control group[17.31%(9/52)](P<0.05).The total compliance of observation group was 96.15%(50/52),which was higher than that of control group[78.85%(41/52)](P<0.05).Scores of SPPB,HOOS,Harris,and BI in observation group were higher than those in control group at 1 and 3 months after operation(P<0.05).Conclusion The application of online and offline holistic opti-mization intervention based on the concept of rapid rehabilitation in elderly THA patients with sarcopenia can reduce postopera-tive pain,reduce adverse events,improve compliance,promote the improvement of hip joint and physical function,and con-tribute to the recovery of patient prognosis.

外文关键词：

Concept of rapid rehabilitationArthroplasty,replacement,hipSarcopeniaElderlyShort physical performance batteryHip disability and osteoarthritis outcomePainActivities of daily living

作者：

杜晓松、周美、王威、孟小娜、才达、张净宇

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作者单位：

063000 河北唐山,唐山市第二医院康复科

063000 河北唐山,唐山市第二医院骨病科

063000 河北唐山,唐山市第二医院创伤科

063000 河北唐山,唐山市第二医院创伤研究所

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关键词：

关节成形术,置换,髋肌少症老年快速康复理念简易躯体执行能力测试量表髋关节伤残和骨关节炎问卷疼痛日常生活活动

基金：

河北省医学科学研究课题(2021)

项目编号：

20210819

出版年：

2024

DOI：

10.3969/j.issn.2095-3097.2024.01.015

转化医学杂志

海军总医院

转化医学杂志

CSTPCD

影响因子：0.671

ISSN：2095-3097

年,卷(期)：2024.13(1)

参考文献量21