优化康复护理对高龄股骨颈骨折患者术后康复的应用效果  

Application effect of optimized rehabilitation and nursing on postoperative rehabilitation of elderly patients with femoral neck fracture

作　　者：陆青秀 施翠敏 顾冬梅[1] 韦金凤 梁少颖 许晓娴 李春容[1] 罗翔[1] LU Qingxiu;SHI Cuimin;GU Dongmei;WEI Jinfeng;LIANG Shaoying;XU Xiaoxian;LI Chunrong;LUO Xiang(Department of Traumatic Orthopedics,Guigang City People's Hospital,Guigang 537100,Guangxi,China)

机构地区：[1]广西贵港市人民医院创伤运动骨科,广西贵港537100

出　　处：《右江医学》2022年第1期39-44,共6页Chinese Youjiang Medical Journal

基　　金：广西科技计划项目(桂科AD17129017)。

摘　　要：目的探讨优化康复护理对高龄股骨颈骨折患者术后康复的应用效果。方法选取2018年11月至2020年11月治疗的高龄股骨颈骨折患者68例,随机分为试验组和对照组,每组34例。试验组与对照组分别按优化康复护理、常规护理康复方法进行术后康复。比较两组病例首次下地活动时间、术后第3天可行走的距离、住院时间、出院时的日常生活能力量表(ADL)评分、术后3个月及6个月Harris髋关节功能评分。结果所有病例平均获(8.3±1.4)个月的随访,试验组首次下地活动时间、术后第3天可行走的距离、住院时间、出院时ADL评分分别为(1.1±0.3) d、(188.9±42.9) m、(7.1±0.9) d、(77.1±6.0)分,与对照组(1.3±0.4) d、(139.1±33.9) m、(8.4±1.0) d、(71.6±4.2)分比较,差异有统计学意义(P<0.05);术后3个月,两组髋关节功能Harris评分优良率比较,试验组和对照组分别为94.1%、73.5%,差异有统计学意义(P<0.05);术后6个月,试验组和对照组髋关节功能Harris评分优良率分别为97.1%、91.2%,差异无统计学意义(P>0.05)。结论总体康复方案是高龄股骨颈骨折患者术后功能恢复的关键,而优化康复护理有助于高龄股骨颈骨折患者术后早期功能的恢复,提高患者早期生活能力。Objective To explore the effect of optimized rehabilitation and nursing on postoperative rehabilitation of elderly patients with femoral neck fracture. Methods 68 elderly patients with femoral neck fracture admitted to hospital from November 2018 to November 2020 were randomly divided into experimental group and control group,with 34 cases in each group. The experimental group received postoperative rehabilitation according to optimized rehabilitation and nursing,while the control group received postoperative rehabilitation according to routine activity plan. The start time of out-of-bed activity,walking distance on the third day after operation,length of stay in hospital as well as the scores of activities of daily living( ADL) at discharge and Harris hip function scores at 3 and 6 months after operation were compared between groups. Results All patients were followed up for( 8.3±1.4) months on average. The start time of out-of-bed activity,walking distance on the third day after operation,length of stay in hospital,the score of ADL at discharge in the experimental group were( 1.1±0.3) d,( 188.9±42.9) m,( 7.1±0.9) d,and( 77.1±6.0) points,respectively,while those in the control group were( 1.3±0.4) d,( 139.1±33.9) m,( 8.4±1.0) d,( 71.6±4.2) points,respectively,and difference was statistically significant between the two groups( P<0.05). 3 months after operation,the excellent rate of Harris score of hip joint function in the experimental group and the control group was 94.1% and 73.5%,respectively,and the difference was statistically significant( P<0.05);6 months after operation,the excellent rate of Harris score of hip joint function in the experimental group and the control group was 97.1% and 91.2%,respectively,and the difference was not statistically significant( P>0.05). Conclusion Overall rehabilitation program is the key to the recovery of postoperative hip joint function in the elderly patients with femoral neck fracture,and optimized rehabilitation and nursing is helpful to the recovery of postop

关 键 词：高龄 股骨颈骨折 康复 生活能力 关节功能 

分 类 号：R473.6[医药卫生—护理学]