老年全髋关节置换术后恐动症的研究进展△

Research progress on kinesiophobia after total hip arthroplasty in the elderly

摘要:

全髋关节置换术 (total hip arthroplasty, THA) 是治疗股骨头坏死、髋关节功能障碍、骨性关节炎等疾病的一种手术方式，患者多为老年人群。老年人在进行全髋关节置换术后，常因术后疼痛或在关节假体适应中产生对疼痛的过度感知，导致对外界的敏感性增强，从而陷入“疼痛-灾难化思维-恐惧-回避”的路径中，导致术后恐动症的发生，增加残疾风险，不利于术后生活质量的改善。现阶段临床医护人员对恐动症的认识和重视程度不足，未能及时发现并制定干预措施。本文针对老年全髋关节置换术后恐动症的概念、发生原因、不良影响、影响因素、测量工具、干预措施等多方面进行综述，为临床工作者提供参考。

Abstract:

Total hip arthroplasty (THA) is a surgical technique for treating femoral bone necrosis, hip dysfunction, osteoarthritis and other diseases, and the most of the patients are elderly. In the case of THA, elderly patients frequently experience increased sensitivity to the outside world as a result of excessive pain perception during joint prosthesis adaptation. This condition is known as postoperative kine- siophobia, which increases the risk of disability and degrades the quality of life. Clinical staff now lacks knowledge about and attention to ki- nesiophobia, making it difficult for them to recognize it and create timely solutions. This article reviews the concept, causes, adverse effects, influencing factors, measurement tools, and interventions of kinesiophobia in elderly patients who undergo THA to provide a reference for clinical workers.