全周期运动处方在全髋关节置换日间手术加速康复中的应用OA
The Application of full cycle exercise prescription in accelerated rehabilitation of total hip arthroplasty day surgery
目的 探讨全周期运动处方在全髋关节置换(THA)日间手术加速康复中的应用效果.方法 共纳入该院96例患者,将2023年2月至2024年1月入院的48例患者作为常规组,将2024年2-12月入院的48例患者作为日间组.日间组接受全周期运动处方干预,常规组采用常规管理模式.比较2组住院时间、术后首次下床时间及术后第7天、1个月、3个月 Harris评分.结果 日间组首次下床时间[5.00(4.00,5.00)h]显著早于常规组[29.00(21.00,44.00)h],差异有统计学意义(P<0.001).日间组术后第7天、1个月、3个月 Harris评分均显著高于常规组,差异均有统计学意义(P<0.05).日间组住院时间[47.00(46.00,47.00)h]短于常规组[202.50(168.00,217.75)h],住院费总费用[22 373.81±928.17)元]低于常规组[(26 730.93±4 376.49)元],差异均有统计学意义(P<0.001).日间组未发生并发症和再入院;常规组发生1例深静脉血栓形成,1例回家后发生跌倒导致关节脱位再入院,2组术后并发症及再入院发生率比较,差异均无统计学意义(P>0.05).结论 全周期运动处方可以加速日间 THA患者的康复,缩短住院时间并减少住院费用.
Objective To investigate the effect of application of full cycle exercise prescription in accel-erated rehabilitation of total hip arthroplasty(THA)day surgery.Methods A total of 96 patients were en-rolled in this study.Specifically,48 patients admitted from February 2023 to January 2024 were allocated to the conventional group,whereas another 48 patients admitted from February to December 2024 were assigned to the daytime group.Patients in daytime group received full cycle exercise prescription intervention,while those in conventional group were managed with routine clinical protocols.The the length of hospital stay,time to first postoperative ambulation,and Harris scores at the 7th day,1 month,and 3 months postoperatively be-tween the two groups were compared.Results The time to first postoperative ambulation in daytime group[5.00(4.00,5.00)h]was significantly earlier than that in conventional group[29.00(21.00,44.00)h],and the difference was statistically significant(P<0.001).The Harris scores of the daytime group at the 7th day,1 month,and 3 months postoperatively were significantly higher than those of conventional group,and the differences were statistically significant(P<0.05).The length of hospital stay in daytime group[47.00(46.00,47.00)h]was shorter than that of conventional group[202.50(168.00,217.75)h],and the total hospi-talization cost in daytime group[(22 373.81±928.17)yuan]was lower than that of conventional group[(26 730.93±4 376.49)yuan],and the differences were statistically significant(P<0.001).No complications or readmissions occurred in daytime group;in conventional group,one case of deep vein thrombosis and one case of readmission due to joint dislocation after a fall at home occurred.There were no statistically significant differences in the incidence of postoperative complications and readmissions between the two groups(P>0.05).Conclusion Full cycle exercise prescription can accelerate the rehabilitation of daytime THA patients,reduce the length of hospital stay and hospitalization costs.
谌艳;刘雪梅;钱晟宇;刘海龙;江伟;王志聪;王代军
德阳市人民医院:骨科,四川 德阳 618000德阳市人民医院:骨科,四川 德阳 618000德阳市人民医院:康复医学科,四川 德阳 618000德阳市人民医院:骨科,四川 德阳 618000德阳市人民医院:骨科,四川 德阳 618000德阳市人民医院:骨科,四川 德阳 618000德阳市人民医院:医工信息科,四川 德阳 618000
医药卫生
运动处方髋关节髋关节置换日间手术
Exercise prescriptionHip jointTotal hip arthroplastyDay surgery
《现代医药卫生》 2026 (5)
1168-1173,6
德阳市科学技术局社会发展领域重点研发指导类项目(2023SZZ014)四川省医学会骨科(尚安通)专项科研课题(2023SAT31)中国高校产学研创新基金——华通国康医学科研专项课题(2023HT068)四川省医学科研课题计划项目(S21029).
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