Effect of early postoperative systemic rehabilitation on treating elderly patients with hemiarthroplasty
10.7619/jcmp.201907005
- VernacularTitle:术后早期系统康复治疗对高龄半髋置换术患者的影响
- Author:
Songjun TANG
1
;
Rong LIU
;
Haitao PEI
Author Information
1. 上海邮电医院 骨康复科
- Keywords:
hemiarthroplasty;
the elderly;
Harris score;
efficacy;
medullary cavity filling rate;
femoral cortical index
- From:
Journal of Clinical Medicine in Practice
2019;23(7):16-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of early systemic rehabilitation therapy in elderly patients after hemiarthroplasty. Methods A total of 76 elderly patients (aged over 80 years old) with semi-hip replacement surgery in our hospital were randomly divided into experimental group (early postoperative systematic rehabilitation therapy after surgery) and control group (the conventional rehabilitation after surgery), with 38 patients in each group. visual analogue scale score (VAS score), hip functional assessment (Harris score), imaging evaluation, complication occurrence and quality of life score (SF-36 scale) at 1, 3, 6 months and 1 year of follow-up in the two groups were compared. Results No patients withdrew the follow-up. VAS scores in the experimental group at 1, 3, 6 months and 1 year of follow-up were lower than that in the control group, but no difference was observed (P＞ 0. 05). Significant differences in Harris scores between the two groups at 1 and 3 months after surgery were seen (P ＜ 0. 05). Harris scores at 6 months and 1 year after surgery in the experimental group were significantly higher than that in the control group, but there was no statistically significant difference between the two groups (P＞ 0. 05). The preoperative cortical index, filling rate of prosthesis pulp cavity and CC values of two groups showed no statistically significant differences (P＞ 0. 05). Filling of prosthesis pulp cavity after 3 to 5 days of the two groups had no obvious sink (＜ 2 mm) when compared with 1, 3, 6 months and 1 year after the replacement of X-ray plain film. The outreach angle of pulp angular position showed no change, white pulp and femoral components surrounding had no bright line, no prosthetic fractures, peripheral fractures and looseness were found. The incidence of complications in the experimental group was higher than that in the control group (34. 2％ vs. 13. 2％, P ＜ 0. 05). Preoperative total scores of SF-36 scale in the experimental group and control group were (407. 28 ± 25. 71), (412. 13 ± 19. 65), showing no differences (P＞0. 05), and postoperative total scores of SF-36 scale were (682. 46 ± 35. 21), (624. 59 ± 42. 76), respectively, at 3 month after operation, which were higher than preoperation (P ＜ 0. 01), and experimental group was higher than the control group (P ＜ 0. 01). Conclusion Early systemic rehabilitation can promote the recovery of hip function, improve the quality of life of elderly patients, reduce the incidence of postoperative complications, shorten the length of hospital stay, and reduce the economic burden.
