Abstract: Objective To develop a standardized mobilization training management for patients after hip replacement, and observe its impact on postoperative rehabilitation of patients. Methods Sixty-eight patients who underwent total hip arthroplasty in 2019 were assigned to standardized mobilization training management group （observation group, n=36） and control group （common rehabilitation group, n=32）. The differences in VAS score, Harris score, Barthel index at discharge, single walking distance, and quality of life 3 months after operation were compared between the two groups during follow-up. Results Two weeks after the operation, Harris score was 81.5±6.2 points in the observation group and 78.1±7.5 points in the control group （P<0.05）. The single walking distance was 126.5±24.3 m in the observation group and 102.8±29.26 m in the control group （P<0.05）. Barthel index assessment at discharge in the observation group and the control group were 90.04±6.16 and 85.31 ±8.02 （P<0.05）. The EuroQoL Five-dimension Questionnaire （EQ-5D） in the experimental group was 62.96 points and 59.90 points in the control group（P<0.05）. There was no difference in postoperative VAS score （P>0.05）. Conclusion The model of standardized mobilization training management helps accelerate the recovery of patients after hip replacement

Key words: total hip arthroplasty, mobilization training management, rehabilitation

摘要： 目的 制定更规范的髋关节置换术后步行管理方案,观察其对患者术后康复效果的影响。方法 选取广州市番禺区中心医院关节外科2019年行髋关节置换术的患者共68例,其中32例接受常规康复（常规康复组）治疗;36例在常规护理基础上实施早期规范化步行管理（规范化管理组）。比较两组术后疼痛VAS评分、Harris评分,出院时Barthel指数,单次行走距离,术后3个月生活质量的差异。结果 术后2周,接受早期规范化步行管理的患者的Harris评分和单次行走距离分别为81.5±6.2分和126.5±24.3 m,常规康复组患者分为78.1±7.5分和102.8±29.26 m,两组间差异有统计学意义（P<0.05）;出院时Barthel指数评定,早期规范化步行管理患者为90.04±6.16分,常规康复组为85.31±8.02分,两组比较有统计学意义（P<0.05）;术后3个月,反映生活质量的EQ-5D评分在两组间比较的差异没有统计学意义（P>0.05）。结论 规范化步行管理有助于髋关节置换术后患者的加速康复。

关键词: 髋关节置换术, 步行管理, 康复