【摘要】 目的 观察院内外一体化康复方案在非骨水泥固定型髋关节置换术后老年患者中的应用效果。方法 选取2024年1月—2025年4月在包头市第三医院进行非骨水泥固定型髋关节置换术的73例老年患者作为研究对象，采用随机数字表法分为观察组37例和对照组36例。观察组实施院内外一体化康复方案，对照组实施常规康复管理。比较两组患者术后髋关节功能评分、康复训练依从性、首次双下肢对称性负重时间、解除髋部运动限制性注意事项时间及并发症发生率。结果 两组组内各时间点Harris髋关节功能评分、康复训练依从性评分比较，差异均有统计学意义(P<0.05)；观察组术后各时间点的Harris髋关节功能评分、康复训练依从性评分均高于对照组(P<0.05)；观察组首次双下肢对称性负重的时间、解除髋部运动限制性注意事项的时间均短于对照组(P<0.05)；观察组并发症总发生率低于对照组(P<0.05)。结论 院内外一体化康复方案应用于非骨水泥固定型髋关节置换术后老年患者中，随时间的推移能更大幅度地提升康复训练依从性，促进髋关节功能恢复，并减少并发症的发生。更多还原

【Abstract】 Objective To observe the application effect of integrated in-hospital and out-of-hospital rehabilitation program in elderly patients after non-cemented hip arthroplasty. Methods A total of 73 elderly patients who underwent non-cemented hip arthroplasty at the Baotou Third Hospital from January 2024 to April 2025 were selected as the research subjects, they were divided into the observation group(37 cases) and the control group(36 cases) using the random number table method. The observation group implemented the integrated in-hospital and out-of-hospital rehabilitation program, while the control group received conventional rehabilitation management. The postoperative hip joint function scores, rehabilitation training compliance, the time of first bilateral symmetry weight-bearing, the time of removing hip movement restriction precautions, and the incidence of complications were compared between the two groups. Results There were significant differences in Harris Hip Function Score and Rehabilitation Training Compliance Score between the two groups at each time point(P < 0.05); the Harris Hip Function Score and Rehabilitation Training Compliance Score in the observation group were higher than those in the control group at each time point after operation(P < 0.05); the time of first bilateral symmetry weight-bearing and the time of removing hip movement restriction precautions of the observation group were shorter than those of the control group(P < 0.05); the total incidence of complications of the observation group was lower than that of the control group(P < 0.05). Conclusions The integrated in-hospital and out-of-hospital rehabilitation program can significantly improve rehabilitation training compliance over time, promote hip joint function recovery, and reduce the occurrence of complications in elderly patients after non-cemented hip arthroplasty.更多还原