Application of the concept of rapid recovery in the early rehabilitation of patients undergoing total hip replacement
快速康复理念在全髋置换术患者早期康复中的应用

摘要

目的 分析快速康复理念在全髋置换术患者早期康复中的应用价值。方法 以2023年1月至2025年1月为研究时间，选取全髋置换术患者86例，纳入随机分组程序，设置分组组数为2，每组人数均等，分为康复组（应用快速康复理念）与常规组（应用常规护理）。对比髋关节功能、疼痛、并发症、自理能力。结果 随着时间推移，两组患者的Harris评分均提升，VAS评分均下降，但与常规组相比，康复组患者术后的Harris评分更高且VAS评分更低；另外，康复组并发症发生率较常规组低（4.65%＜23.26%）；其次，两组患者术后自理能力评分递增式上涨，除术后1d外，康复组各时间段评分均高于常规组。相关对比有意义（P＜0.05）。结论 在全髋置换术患者早期康复中，快速康复理念的护理不仅可进一步恢复患者髋关节功能，提高其自理能力，且可进一步减轻患者疼痛与并发症。

Abstract

Objective To analyze the application value of the concept of rapid recovery in the early rehabilitation of patients undergoing total hip replacement.
Methods Taking January 2023 to January 2025 as the study time, 86 patients with total hip replacement were selected and included in the randomization program, and the number of groups was set to be 2, and the number of groups in each group was equal, and they were divided into rehabilitation group (applying the concept of rapid recovery) and conventional group (applying routine care). Compare hip function, pain, complications, and self-care ability.
Results With the passage of time, the Harris score of the patients in both groups increased and the VAS score decreased, but compared with the conventional group, the Harris score of the patients in the rehabilitation group was higher and the VAS score was lower. In addition, the incidence of complications in the rehabilitation group was lower than that in the conventional group (4.65% < 23.26%). Secondly, the scores of postoperative self-care ability of the two groups increased gradually, and the scores of the rehabilitation group in all time periods were higher than those of the conventional group except for 1 day after surgery. The correlation comparison was significant (P<0.05).
Conclusion   In the early rehabilitation of patients undergoing total hip replacement, the care of the concept of rapid recovery can not only further restore the function of the hip joint, improve the patient's self-care ability, but also further reduce the patient's pain and complications.