早期系统康复介入治疗对老年肱骨近端骨折患者术后康复效果的影响分析  

Analysis of the effect of early systematic rehabilitation interventional therapy on postoperative rehabilitation of elderly patients with proximal humerus fractures

作　　者：王莹[1] 聂琨[1] WANG Ying;NIE Kun(Department of Orthopedic Surgery,the Central Hospital of Wuhan,Wuhan 430000,China)

机构地区：[1]武汉市中心医院骨外科,武汉430000

出　　处：《中国医学前沿杂志（电子版）》2019年第1期110-113,共4页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的分析早期系统康复介入治疗对老年肱骨近端骨折患者术后康复效果的影响。方法选取2012年8月至2015年11月本院收治的90例老年肱骨近端骨折患者为研究对象,按照随机数表法将其分为观察组和对照组,每组各45例。观察组患者术后给予早期系统康复介入治疗,对照组患者术后早期均行常规康复治疗。比较两组患者术后肩关节功能恢复情况、临床疗效及并发症发生情况。结果观察组患者术后各个时间点的Neer评分均显著高于对照组(P_均<0.05)。两组患者末次随访时的视觉模拟评分法评分比较差异无显著性(P> 0.05)。观察组患者治疗优良率显著高于对照组(P <0.05);并发症发生率低于对照组,但组间比较差异无显著性(P> 0.05)。结论早期系统康复介入治疗能有效提高老年肱骨近端骨折患者术后的肩关节功能,改善临床症状,促进术后康复。Objective To analyze the effect of early systematic rehabilitation interventional therapy on the postoperative rehabilitation of elderly patients with proximal humerus fractures.Method 90 elderly patients with proximal humerus fractures admitted to our hospital from August 2012 to November 2015 were selected as the subjects,and were divided into observation group and control group according to the random number table method,45 cases in each group.Observation group patients were given early systematic rehabi litation intervention after surgery,and control group patients were received routine rehabilitation treatment at the early stage after operation.The recovery of shoulder joint function,clinical efficacy and complications were compared between the two groups.Result The Neer score of observation group was significantly higher than that of control group at each time point after operation(Pall<0.05).There was no significant difference in visual analogue score between the two groups at the last follow-up(P>0.05).The excellent and good rate of treatment in observation group was significantly higher than that in control group(P<0.05).The incidence of complications in observation group was lower than that in control group,but there was no significant difference between the two groups(P>0.05).Conclusion Early systemic rehabilitation interventional therapy could effectively improve postoperative shoulder joint function and clinical symptoms,and promote postoperative rehabilitation in elderly patients with proximal humeral fracture.

关 键 词：系统康复 老年 肱骨近端骨折 锁定钢板固定 

分 类 号：R687.3[医药卫生—骨科学]