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股骨粗隆间骨折术后康复功能锻炼及护理常规的临床研究 被引量:16

Clinical study of postoperative functional rehabilitation exercises and nursing routine of intertrochanteric fracture
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摘要 目的对比治疗组与对照组两种理论指导下的股骨粗隆间骨折术后康复功能锻炼及术后护理常规,将康复功能锻炼量化,证实此锻炼方法及护理常规在术后康复的有效性,有效减少术后并发症。方法选取本院36例股骨粗隆间骨折PFNA内固定术后患者,随机分为两组,每组18例,两组采取不同功能锻炼方法及护理常规。最后以Harris髋关节功能评分为评价标准对两组患者的整体恢复做出评价。结果在对36例患者术后6个月的随访过程中,两组Harris评分比较,治疗组高于对照组;治疗组术后并发症明显少于对照组;两组总体优良率比较,治疗组优良率为88.89%,对照组优良率为66.67%,治疗组恢复明显优于对照组,差异有统计学意义(P<0.05)。结论将康复功能锻炼量化,并配合积极的护理常规对股骨粗隆间骨折术后髋关节的恢复及减少术后并发症有积极的作用。 Objective To confirm the effectiveness of this exercise method and nursing practice in the postoperative rehabilitation, and to reduce the postoperative complications, by contrasting the postoperative functional rehabilitation exercises and care routine of intertrochanteric fracture under the guidance of the treatment group and the control group two theories and quantizing the rehabilitation exercise. Methods 36 patients after fractures PFNA fixation of intertrochanteric in our hospital were randomly divided into two groups, 18 cases in each group. Different functional training methods and nursing routine were taken between the two groups. Then the overall recovery of the two groups was evaluated with Harris hip score of evaluation criteria. Results In the postoperative follow-up of 6 months of the 36 patients, Harris scores of treatment group was higher that of control group, and postoperative complications of treatment group was significantly less than that of control group. The overall excellent rate of treatment group was 88.89%, the control group was 66.67%, and recovery of treatment group was better than the control group. The difference was statistically significant(P〈0.05). Conclusion It had a positive effect on reducing postoperative complications and the hip joint's recovery of femoral intertrochanteric fracture by quantizing the rehabilitation exercise combined with the positive nursing routine.
作者 宁荣
出处 《中国医药科学》 2016年第10期112-115,共4页 China Medicine And Pharmacy
关键词 股骨粗隆间骨折 康复功能锻炼 护理常规 PFNA内固定 Intertrochanteric fracture Rehabilitation exercise Nursing routine PFNA internal fixation
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