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运动康复一体化对股骨粗隆间骨折术后疗效的影响 被引量:5

Effect of Exercise Rehabilitation on Postoperative Outcome of Intertrochanteric Fracture
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摘要 目的探讨骨折治疗联合患者的运动康复一体化对股骨粗隆间骨折产生的影响。方法选择我院100例2017年5月-2019年2月股骨粗隆间骨折患者。随机分组,常规治疗组实施骨折治疗方案治疗,运动康复一体化治疗组的患者在临床方面除了根据常规治疗组开展治疗方案,还给予了运动康复一体化方案治疗。比较两组股骨粗隆间骨折疗效;股骨粗隆间骨折平均愈合时间、住院的平均时间;治疗前后患者视觉模拟评分、髋关节功能;并发症发生率。结果运动康复一体化治疗组股骨粗隆间骨折疗效100%相比较常规治疗组72%更好,χ^2=7.351,P<0.05。治疗后运动康复一体化治疗组视觉模拟评分、髋关节功能(0.56±0.11)分、(94.19±3.56)分优于常规治疗组,t分别是30.681和16.949,P<0.05。运动康复一体化治疗组股骨粗隆间骨折平均愈合时间、住院的平均时间和常规治疗组比较有优势,t分别是16.819和6.681,P<0.05。运动康复一体化治疗组并发症发生率低于常规治疗组,χ^2=6.133,P<0.05。结论骨折治疗联合患者的运动康复一体化对股骨粗隆间骨折产生的影响大,可更好加速患者骨折愈合和减轻疼痛,改善髋关节功能。 Objective To investigate the effect of exercise rehabilitation combined with fracture treatment on femoral intertrochanteric fracture.Methods 100 patients with femoral intertrochanteric fractures from May 2017 to February 2019 were enrolled in our hospital.Randomly grouped,the conventional treatment group was treated with a fracture treatment program,and the patients in the exercise rehabilitation integrated treatment group were treated with an integrated exercise rehabilitation program in addition to the treatment plan according to the conventional treatment group.The curative effect of intertrochanteric fractures between the two groups was compared.The average healing time of femoral intertrochanteric fractures and the average time of hospitalization were performed.The visual analogue scale and hip function before and after treatment were performed.The incidence of complications was observed.Results 100%of the femoral intertrochanteric fractures in the exercise-rehabilitation integrated treatment group were better than the conventional treatment group,72%,χ^2=7.351,P<0.05.After treatment,the visual analog score,hip function(0.56±0.11),and(94.19±3.56)were better than the conventional treatment group,t were 30.681 and 16.949,respectively,P<0.05.The average healing time of the intertrochanteric fractures in the exercise-rehabilitation integrated treatment group and the average length of hospitalization were superior to the conventional treatment group,t were 16.819 and 6.681,respectively,P<0.05.The incidence of complications in the integrated exercise rehabilitation group was lower than that in the conventional treatment group,χ^2=6.133,P<0.05.Conclusion The combination of exercise and rehabilitation in patients with fracture treatment has a great influence on the intertrochanteric fracture.It can better accelerate the fracture healing and relieve pain and improve hip function.
作者 叶试南 阮平 郑帮明 谢伟雄 蒋文勇 刘振林 YE Shi’nan;RUAN Ping;ZHENG Bangming;XIE Weixiong;JIANG Wenyong;LIU Zhenlin(Yunfu TCM Hospital of Guangdong Province,Yunfu Guangdong 527300,China)
出处 《中国卫生标准管理》 2019年第16期28-30,共3页 China Health Standard Management
关键词 骨折治疗 运动康复一体化 股骨粗隆间骨折 疗效 影响 髋关节功能 fracture treatment exercise rehabilitation integration femoral intertrochanteric fracture efficacy effect hip function
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