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股骨颈骨折行髋关节置换术后康复治疗对患者骶髂关节功能改善作用的研究 被引量:12

Effect of rehabilitation on improving sacroiliac joint function in patients with femoral neck fracture after hip joint replacement
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摘要 目的探讨股骨颈骨折行髋关节置换术后康复治疗对患者骶髂关节功能的改善情况。方法选择因股骨颈骨折行髋关节置换术的患者,分为康复治疗组和常规处理组,每组各55例。髋关节置换术后对康复治疗组患者进行系统性的康复治疗,常规处理组患者进行常规基础处理,对比治疗前后康复治疗组和常规处理组的疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、Harris评分、生存质量,比较2组的临床疗效。结果与治疗前相比,治疗后2组患者的VAS、ODI均降低(P均<0.01),Harris评分、生存质量均升高(P均<0.01)。治疗后,康复治疗组的临床疗效和VAS、ODI、Harris评分及生存质量均优于常规处理组(P均<0.01)。结论术后进行系统性的康复治疗能够改善股骨颈骨折患者行髋关节置换术后的骶髂关节功能。 Objective To evaluate the rehabilitation upon the improvement of sacroiliac joint function in patients diagnosed with femoral neck fracture after undergoing hip joint replacement.Methods In total, 110 patients with femoral neck fracture undergoing hip joint replacement were randomly divided into the rehabilitation (n=55) and conventional treatment groups (n=55).Patients in the rehabilitation group received systematic rehabilitation after hip joint replacement, and those in the control group were administered with conventional treatment group.The visual analogue scale (VAS), Oswestry dysfunction index (ODI), Harris grade and quality of life were evaluated to compare the clinical efficacy between two groups.Results After corresponding treatment, the VAS and ODI were significantly decreased (both P〈0.01), whereas the Harris grade and quality of life were considerably elevated (both P〈0.01) in both groups.In the rehabilitation group, clinical efficacy, VAS, ODI, Harris grade and quality of life were significantly higher compared with those in the conventional treatment group (all P〈0.01).Conclusion Postoperative systematic rehabilitation can enhance the sacroiliac joint function in patients with femoral neck fracture after hip joint replacement.
出处 《新医学》 2017年第8期575-578,共4页 Journal of New Medicine
关键词 股骨颈骨折 髋关节置换术 康复治疗 骶髂关节损伤 Femoral neck fracture Hip joint replacement Rehabilitation Sacroiliac joint injury
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