骨折治疗与运动康复一体化对股骨粗隆间骨折术后疗效的影响  

INFLUENCE OF INTEGRATION OF FRACTURE TREATMENT AND EXERCISE REHABILITATION ON EFFECTIVENESS IN PATIENTS WITH INTERTROCHANTERIC FRACTURE OF FEMUR

作　　者：张斌[1] 戴闽[1] 唐亚敏[2] 邹帆[1] 刘虎诚[1] 聂涛[1] 

机构地区：[1]南昌大学第一附属医院骨科,南昌330006 [2]南昌大学护理系

出　　处：《中国修复重建外科杂志》2012年第12期1453-1456,共4页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：江西省卫生厅重大招标计划资助项目(20074005)~~

摘　　要：目的通过与传统康复治疗患者比较,探讨骨折治疗与运动康复一体化对股骨粗隆间骨折术后疗效的影响。方法将2007年1月-2009年12月56家医院收治并符合选择标准的3 873例股骨粗隆间骨折患者纳入研究。根据骨折内固定术后康复治疗方法的不同将患者分为两组,其中1 970例根据《骨折病人早期运动康复安全性评定量表》评分制定康复治疗方法(试验组),1 903例术后采用传统康复治疗(对照组)。两组患者性别、年龄、骨折类型、内固定类型、安全性评分等一般资料比较,差异均无统计学意义(P>0.05),具有可比性。结果两组患者均获随访,随访时间13～49个月,平均30.5个月。术后两组骨不连或延迟愈合以及全身并发症发生率比较,差异均无统计学意义(P>0.05),切口并发症、下肢深静脉血栓形成及总并发症发生率比较,差异均有统计学意义(P<0.05)。术后6个月及12个月试验组髋关节屈伸活动恢复程度、疗效分级及优良率均显著优于对照组,差异均有统计学意义(P<0.05)。结论骨折治疗与运动康复一体化可明显改善股骨粗隆间骨折患者的预后,提高疗效,降低并发症发生率。Objective To investigate the mtluence ot the integration ot tracture treatment and exercise rehabilitation on the effectiveness in the patients with intertrochanteric fracture of femur. Methods Between January 2007 and December 2009, 3 873 patients with intertrochanteric fracture of femur were surgically treated in 56 hospitals. Of them, 1 970 cases were treated with rehabilitation training according to scale of safety assessment of early exercise rehabilitation of patients with fractures （trial group）, 1 903 cases were treated with traditional rehabilitation training methods （control group）. There was no significant difference in age, gender, fracture type, internal fixation type, or postoperative safety score between 2 groups （P 〉 0.05）. Results All the patients were followed up 13-49 months （mean, 30.5 months）. There was no significant difference in the incidences of bone nonunion, delayed union, and systemic complication between 2 groups （P 〉 0.05）; significant differences were found in the incidences of incision complication, deep vein thrombosis of the lower extremity, and the overall complication between 2 groups （P 〈 0.05）. At 6 and 12 months after operation, the trial group was significantly better than the control group in the recovery of hip motion, curative effectiveness classification, and the excellent and good rate （P 〈 0.05）. Conclusion The treatment of intertrochanteric fracture of the femur guided by the integration of fracture treatment and exercise rehabilitation can apparently improve the prognosis and reduce the incidence of complications.

关 键 词：股骨粗隆间骨折 运动康复 骨折治疗 一体化治疗 

分 类 号：R683[医药卫生—骨科学]