[1]孙阳,郑晓,李岩峰,等.基于ERAS理念探讨电针联合等速肌力训练对THA术后患者髋关节功能的影响[J].中华老年骨科与康复电子杂志,2023,(02):92-100.[doi:10.3877/cma.j.issn.2096-0263.2023.02.005]
　Sun Yang,Zheng Xiao,Li Yanfeng,et al.To investigate the effect of electroacupuncture combined with isokinetic strength training on hip function of patients after THA based on ERAS concept[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2023,(02):92-100.[doi:10.3877/cma.j.issn.2096-0263.2023.02.005]
点击复制

基于ERAS理念探讨电针联合等速肌力训练对THA术后患者髋关节功能的影响()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2023年02期
页码:
92-100
栏目:
康复医学
出版日期:
2023-04-05

文章信息/Info

Title:
To investigate the effect of electroacupuncture combined with isokinetic strength training on hip function of patients after THA based on ERAS concept
作者:
孙阳1; 郑晓1; 李岩峰1; 周凌峰1; 杜震2
200071 上海中医药大学附属市中医医院康复医学科1；200071 上海中医药大学附属市中医医院医务处2
Author(s):
Sun Yang1;  Zheng Xiao1;  Li Yanfeng1;  Zhou Lingfeng1;  Du Zhen2.
1Rehabilitation Department of TCM, Shanghai Hospital of TCM Affiliated to Shanghai University of TCM, Shanghai 200071, China; 2Medical Service, Shanghai Hospital of TCM Affiliated to Shanghai University of TCM, Shanghai 200071, China
关键词:
加速康复外科;  电针;  等速肌力训练;  全髋关节置换术;  疗效
Keywords:
Enhanced recovery after surgery;  Electroacupuncture;  Isokinetic muscle strength training;  Total hip arthroplasty;  Curative effect
DOI:
10.3877/cma.j.issn.2096-0263.2023.02.005
文献标志码:
A
摘要:
目的 探究ERAS理念下电针联合等速肌力训练对全髋关节置换术后患者髋关节功能的影响。方法 采用完全随机化方法，将72例入组患者随机分为观察组和对照组各36例（观察组脱失1例）。观察组采用电针联合等速肌力训练疗法，对照组采用传统康复训练疗法。分别于术后1天、术后2周、术后3个月时测定并记录患者的髋关节Harris量表各维度评分、患侧大腿肌萎缩指数、Barthel指数评分，并进行疗效评价及安全性评价。结果 所有入组患者均获随访，随访时间3个月。观察组术后2周的Harris评分[（31.09±8.33）分]、Barthel指数评分[（60.83±16.72）分]优于对照组[[（24.47±8.02）分；（37.59±4.12）分]，肌萎缩指数[（39.23±18.06）分]呈正值，对照组肌萎缩指数[（-53.17±0.59）分]呈负值；观察组术后3个月的Harris评分[（41.47±1.46）分]优于对照组[（37.59±4.12）分]，肌萎缩指数[（0.34±0.40）分]小于对照组[（3.08±0.23）分]，优良率（88.89%）优于对照组（54.29%），差异具有统计学意义（均P＜0.05）。观察组和对照组术前、术后2周、术后3个月Harris评分、Barthel评分、肌萎缩指数进行重复测量设计的方差分析显示观察组和对照组组间差异具有统计学意义（均P＜0.05），组别与时间点间存在交互作用，各时间点除第一时间点外两组差异均具有统计学意义（均P＜0.05），观察组和对照组在各时间点间组内差异均具有统计学意义（均P＜0.05）。结论 电针联合等速肌力训练有助于提高THA术后患者髋关节功能及日常生活能力、改善术后水肿及防止患肢肌肉萎缩，临床疗效尤其是术后早期疗效显著且安全性良好。
Abstract:
Objective To investigate the effect of electroacupuncture combined with isokinetic muscle training on hip joint function in patients undergoing total hip arthroplasty under the ERAS concept. Methods 72 eligible patients were randomly divided into an observation group and a control group, with 36 cases in each group (one case was lost in the observation group). The observation group received electroacupuncture combined with isokinetic muscle training therapy, while the control group received traditional rehabilitation training. The Harris Hip Score, the atrophy index of the affected side thigh muscle, the Barthel Index score of the patients were measured and recorded at postoperative day 1, 2 weeks, and 3 months, and the therapeutic and safety effects were evaluated. Results All enrolled patients were followed up for 3 months. The Harris Hip Score and Barthel Index score of the observation group at 2 weeks after surgery were superior to those of the control group, with positive atrophy index values in the observation group and negative atrophy index values in the control group. At 3 months after surgery, the Harris Hip Score of the observation group was better than that of the control group, and the atrophy index was lower than that of the control group. The excellent rate was also better than that of the control group, and the differences were statistically significant. The repeated measures analysis of variance of the Harris Hip Score, Barthel Index score, and atrophy index of the observation and control groups before surgery, at 2 weeks and 3 months after surgery showed that there was a statistically significant difference between the two groups. There was an interaction effect between group and time point, and the differences between the two groups were statistically significant at all time points except the first time point. The differences within the observation and control groups at each time point were also statistically significant. Conclusions Electroacupuncture combined with isokinetic muscle training can help improve hip joint function and daily living ability, alleviate postoperative edema, and prevent muscle atrophy of the affected limb in patients after total hip arthroplasty. The clinical efficacy, especially the early postoperative efficacy, is significant, and the safety is good.

相似文献/References:

[1]毛雷音,傅育红,徐颢庭.加速康复理念下高龄髋部骨折围手术期饮食方案的制定及应用研究[J].中华老年骨科与康复电子杂志,2020,(06):357.[doi:10.3877/cma.j.issn.2096-0263.2020.06.008]
　Mao Leiyin,Fu Yuhong,Xu Haoting.A study of perioperative fasting management in aged patients underwent hip fracture surgeries under the concept of ERAS[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2020,(02):357.[doi:10.3877/cma.j.issn.2096-0263.2020.06.008]
[2]董佩龙,唐晓波,王健,等.加速康复外科在人工股骨头置换术治疗老年股骨粗隆间骨折中的应用研究[J].中华老年骨科与康复电子杂志,2021,(03):170.[doi:10.3877/cma.j.issn.2096-0263.2021.03.008]
　Dong Peilong,Tang Xiaobo,Wang Jian,et al.Clinical study of enhanced recovery after surgery in the treatment of intertrochanteric femoral fracture with artificial femoral head replacement in elderly patients[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2021,(02):170.[doi:10.3877/cma.j.issn.2096-0263.2021.03.008]
[3]覃仁镭,罗显德.加速康复外科理念在老年股骨颈骨折治疗过程中应用效果的meta分析[J].中华老年骨科与康复电子杂志,2022,(05):313.[doi:10.3877/cma.j.issn.2096-0263.2022.05.010]
　Qin Renlei,Luo Xiande..The effect of enhanced recovery after surgery theory treating femoral neck fractures in elderly patients: a meta-analysis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2022,(02):313.[doi:10.3877/cma.j.issn.2096-0263.2022.05.010]

备注/Memo

备注/Memo:
基金项目：上海市卫生健康委员会科研课题（20204Y0262）；上海市进一步加快中医药传承创新发展三年行动计划（ZY（2021-2023）-0201-04）
更新日期/Last Update: 2023-05-09