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研究  

Study on the Effect of the Integration of Fracture Treatment and Exercise Rehabilitation on the Postoperative Curative Effect of Femoral Intertrochanteric Fractures

作　　者：邵伟忠[1] SHAO Weizhong(Department of Orthopedics,Changshu Second People's Hospital,Changshu,Jiangsu Province,215500 China)

机构地区：[1]常熟市第二人民医院骨科,江苏常熟215500

出　　处：《系统医学》2021年第13期87-89,99,共4页Systems Medicine

摘　　要：目的分析股骨粗隆间骨折术后患者采用骨折治疗和运动康复一体化的临床效果。方法于2015年12月—2019年12月选取该院收治的股骨粗隆间骨折患者86例,按照数字表法分为两组,对照组组采用骨折治疗与常规康复治疗,观察组采用骨折治疗与运动康复一体化治疗,并对两组髋关节功能恢复效果、骨折愈合时间、住院天数、视觉模拟评分、髋关节功能评分与并发症发生率进行对比。结果观察组髋关节功能恢复优良率97.67%比对照组的81.40%更高,差异有统计学意义(χ^(2)=4.468,P=0.035<0.05);观察组骨折愈合时间和住院天数均比对照组短,差异有统计学意义(P<0.05);两组患者治疗前视觉模拟与髋关节功能评分的比较差异无统计学意义(P>0.05);治疗后两组视觉模拟评分均比治疗前低,髋关节功能评分均比对照组高,且治疗后观察组视觉模拟与髋关节功能评分的改善程度均比对照组高,差异有统计学意义(P<0.05);观察组并发症发生率2.33%,低于对照组的23.26%,差异有统计学意义(χ^(2)=8.444,P=0.004)。结论股骨粗隆间骨折术后患者采用骨折治疗和运动康复一体化,可使患者的髋关节功能有效恢复,缩短骨折愈合时间与住院天数,减轻疼痛,减少并发症出现。Objective To analyze the clinical effect of the integration of fracture treatment and exercise rehabilitation in patients with femoral intertrochanteric fractures.Methods During the period from December 2015 to December 2019,86 patients with femoral intertrochanteric fractures admitted to this hospital were selected and divided into 2 groups according to the number table.The control group was treated with fracture treatment and conventional rehabilitation.Observation group used the fracture treatment and sports rehabilitation integrated treatment,and the two groups of hip joint function recovery effect,fracture healing time,hospitalization days,visual analog score,hip joint function score and complication rate were compared.Results The excellent and good rate of hip joint function recovery in the observation group was 97.67%,which was higher than 81.40%in the control group,the difference was statistically significant(χ^(2)=4.468,P=0.035<0.05);the fracture healing time and hospital stay in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.05);There was no statistically significant difference between the visual simulation and hip function scores of patients in the group before treatment(P>0.05);the visual simulation scores of the two groups after treatment were lower than those before treatment,and the hip joint function scores were higher than those of the control group,and the observation group after treatment of the degree of improvement of visual simulation and hip function scores was higher than that of the control group,the difference was statistically significant(P<0.05);the complication rate of the observation group was 2.33%,which was lower than 23.26%of the control group,the difference was statistically significant(χ^(2)=8.444,P=0.004).Conclusion The integration of fracture treatment and exercise rehabilitation for patients with intertrochanteric fractures after surgery can effectively restore the hip joint function,shorten the fracture h

关 键 词：股骨粗隆间骨折 骨折治疗 运动康复一体化 疗效 

分 类 号：R68[医药卫生—骨科学]