前后路联合钢板固定术后阶段性训练对骨盆骨折患者骨盆功能康复的影响  

Effect of Staged Training after Anterior and Posterior Combined Plate Fixation on the Rehabilitation of Pelvic Function in Patients with Pelvic Fracture

作　　者：徐以春 张海艳 XU Yichun;ZHANG Haiyan(Trauma Center,Linyi Central Hospital,Linyi Shandong,276400;2nd Department of Pediatric Internal Medicine,Linyi Central Hospital,Linyi Shandong,276400,China)

机构地区：[1]临沂市中心医院创伤中心,山东临沂276400 [2]临沂市中心医院小儿内二科,山东临沂276400

出　　处：《反射疗法与康复医学》2022年第23期89-92,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨前后路联合钢板固定术后阶段性训练对骨盆骨折患者骨盆功能康复的影响.方法选择2020年8月—2022年2月我院收治的骨盆骨折患者62例,按随机数字表法分为对照组(n=31)和观察组(n=31).两组均接受前后路联合钢板固定术治疗,术后,对照组进行常规康复训练,观察组进行阶段性训练,均持续训练16周.对比两组的骨盆功能、生存质量及并发症发生情况.结果术后1周,两组的各项骨盆功能评分比较,组间差异无统计学意义(P>0.05);术后16周,观察组的Majeed骨盆骨折评分系统总分及疼痛、站立、坐、工作能力、性生活评分均高于对照组,组间差异有统计学意义(P<0.05).干预前,两组的各项健康调查简表(SF-36)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的SF-36中生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康评分均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为6.46%,明显低于对照组的25.82%,差异有统计学意义(P<0.05).结论于前后路联合钢板固定术后进行阶段性训练,能有效促进骨盆骨折患者的骨盆功能恢复,降低并发症发生率,提升生存质量,值得临床推广使用.Objective To investigate the effect of stage training after anterior and posterior combined plate fixation on the rehabilitation of pelvic function in patients with pelvic fracture.Methods 62 patients with pelvic fracture admitted to our hospital from August 2020 to February 2022 were selected and were randomly divided into a control group(n=31)and an observation group(n=31).Both groups were treated with anterior and posterior combined plate fixation,after surgery,the control group received routine rehabilitation training,and the observation group received stage training.Both groups continued trainingfor16weeks.Thepelvicfunction,quality oflifeandcomplicationswere comparedbetweenthetwo groups.Results 1 week after surgery,there was no significant difference in pelvic functional scores between the two groups(P>0.05);16 weeks after surgery,the total score of Majeed pelvic fracture scoring system and scores of pain,standing,sitting,working ability and sex life in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before intervention,there were no significant differences in the scores of the MOS item short from health survey(SF-36)between the two groups(P>0.05);after intervention,the physiological function,physiological function,physical pain,general health status,energy,social function,emotional function and mental health scores of SF-36 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 6.46%,which was significantly lower than 25.82%in the control group,the difference was statistically significant(P<0.05).Conclusion Stage training after anterior and posterior combined plate fixation can effectively promote the recovery of pelvic function,reduce the incidence of complications and improve the quality of life in patients with pelvic fracture,and is worthy of clinical promotio

关 键 词：骨盆骨折 阶段性训练 前后路联合钢板固定术 骨盆功能 

分 类 号：R687[医药卫生—骨科学]