·论著·《中国老年保健医学》杂志2023年第2】卷第2期老年髋部骨折全髋关节置换术后超早期康复负重训练最佳证据总结袁建坤肖煌怡严梓予1王峻2作者单位：1.云南中医药大学护理学院6505002.云南大学附属医院650021基金项目：云南省教育厅科技基金项目（老年股骨粗隆骨折髓内固定术后超早期康复负重训练方案构建研完，编号：2023Y0494)【摘要】目的总结老年髋部骨折全髋关节置换术后超早期康复负重训练的证据，为髋部骨折全髋关节置换术后患者的负重训练提供证据支撑。方法中文检索中国知网和万方、维普等数据库：英文检索We山of science、Cochrane LibraryPubmed等数据库。检索年限为2017年1月1日至2022年6月14日。结果共纳入17篇文献，包括指南2篇、专家共识1篇、系统评价2篇、随机对照试验2篇。总结出5大类共15条老年髋部骨折髋关节置换术后的超早期负重训练的证据。结论本研究为老年髋部骨折全髋关节置换术后进行超早期负重训练提供了循证证据支持，具有临床指导意义，【关键词】髋部骨折全髋关节置换超早期负重康复dol10.3969/i.issm.1672-2671.2023.02.014Elderly hip fracture in super early rehabilitation after total hip replacement weight training best evidence YUAN Jiankun',XIAO Huangyi,YAN Ziyu',WANG Jun'.1.Nursing College of Yunnan University of Traditional Chinese Medicine,Kunming650500;2.Yunnan University Affiliated Hospital,Kunming 650021.China.)[Abstract]Objective Synthesis of data on ultra early muscle rehabilitation after total hip arthroplasty for hip fractures.MethodsChinese databases such as CNKI,Wanfang and Wipu,and English databases such as Web of science,Cochrane Library andPubmed were searched.The search year was checked fmom January 1,2017 to June 14,2022.Results A total of 17 publicationswere evaluated,including 2 guidelines,I expert consensus,2 systematic reviews and 12 randomized controlled trials.A total of 15lines of evidence on ultra-eady weight-bearing exercise after hip replacement for hip fractures in the eldedy were grouped into 5 maincategories.Conclusion This study provides evidence-based support for aggravated exercise early after total hip replacement for hipfractures in the elderly and has implications for clinical guidelines.[Keywords]Hip fracture;total hip replacement;super early stage;weight bearing:rehabilitation我国已迈入老龄化社会，髋部骨折的发生频率也逐年凸23.79%，对于⑤岁以上老年人来说是第二常见骨折。此类显"，据统计髋骨骨折发生率占老年人全身骨折发生率的患者术后髖部肌肉无力、行动迟缓，步行姿态异常等情况较为作者简介：表建坤，云南中医药大学护理在读研究生，研究方向：临床护理。密为通讯作者15潘静.急性心肌梗死℃I术后患者焦虑和抑郁状态对血脂调控19 Jiao YH,Tian T,Wei SS,et al.Association between serum non-igh-的影响D].石家庄：河北医科大学，2017.density lipoprotein cholesterol and cognitive dysfunction afer acute is-16杨鹰，刘向欣.老年抑郁症患者脑功能状态与血脂水平及其相关chemie stroke:a cross-sectional study [Braz J Med Biol Res,2020,性的研究0.浙江临床医学，2010,12(2)：126-128.5312):9487.17 Bot M,Milaneschi Y,Al-Shehri T,et al.Metabolomies profile in de-20 Kalelioglu T,Unalan P,Kik B,et al.Atherogenie index of plasma as apression:a pooled analysis of 230 metabolie markers in 5283 casescardiovascular risk marker in manie,depressive,and euthymic stageswith depression and 10,145 controls [Biol Psychiatry,2020,87of bipolar disorder Turk Kardiyoloji Demegi Arsivi,2018,46 1):(51:409-41832-38.18 Khandaker GM,Zuber V,Rees JMB,et al.Correction:Shared mecha-21 Arianne KB,Dortland VR,Giltay EJ,et al.The impact of stress sys-nisms between coronary heart disease and depression:findings from atems and lifestyle on dyslipidemia and obesity in anxiety and depres-large UK general population-based cohort Mol Psychiatry,2021.sion [Psychoneurendocrinolgy,2013,38(2):209-218.26(7):3659-3661收稿日期：202
