CPM锻炼仪联合早期量化康复训练对股骨粗隆间骨折患者术后康复效果的影响  

Effect of CPM combined with early quantitative rehabilitation training on postoperative rehabilitation in patients with intertrochanteric femur fracture

作　　者：何泉源[1] 段智霞[1] 马民 刘宁[1] He Quanyuan;Duan Zhixia;Ma Min;Liu Ning(Department of Rehabilitation,Zhengzhou Orthopedics Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市骨科医院康复医疗科,郑州450000

出　　处：《中国实用医刊》2022年第7期66-69,共4页Chinese Journal of Practical Medicine

基　　金：河南省医学科技攻关计划项目(LHGJ20191140)。

摘　　要：目的探究持续被动活动(CPM)锻炼仪联合早期量化康复训练对股骨粗隆间骨折(IFF)患者术后康复效果的影响。方法抽取郑州市骨科医院2019年1月至2021年1月收治的84例IFF患者进行前瞻性随机平行对照研究,按随机数字表法分成对照组与观察组,每组42例。两组均接受髋关节置换术治疗,术后对照组进行自我常规锻炼,观察组进行CPM锻炼仪联合早期量化康复训练。比较两组手术前后疼痛数字评估量表(NRS)评分、Harris髋关节功能评分、骨代谢指标[Ⅰ型前胶原羧基端肽(PICP)、骨钙素(BGP)、骨碱性磷酸酶(BALP)]水平及并发症发生率。结果术后3、6个月,两组Harris髋关节功能评分均高于治疗前(P均<0.05),观察组Harris髋关节功能评分均高于对照组(P均<0.05)。术后1、3个月,两组NRS评分低于术前(P<0.05),且观察组NRS评分低于对照组(P<0.05)。术后3个月,两组血清BGP、PICP水平均较术前升高,血清BALP水平均较术前降低,且观察组BGP、PICP水平高于对照组,BALP水平低于对照组(P<0.05)。观察组并发症总发生率(4.76%,2/42)低于对照组(23.81%,10/42),P<0.05。结论CPM锻炼仪与早期量化康复训练联合应用于IFF患者术后可有效提高其髋关节功能,减轻疼痛感,调节血清BGP、BALP、PICP水平,降低并发症发生风险。Objective To investigate the effect of continuous passive motion(CPM)combined with early quantitative rehabilitation training on postoperative rehabilitation in patients with intertrochanteric femur fractures(IFF).Methods A total of 84 patients with IFF treated in Zhengzhou Orthopedics Hospital from January 2019 to January 2021 were selected for the prospective randomized parallel control study.And they were divided into control group and observation group by random number table method,with 42 cases in each group.Both groups received total hip replacement,and the control group was given patient-controlled routine exercise,while the observation group was given CPM combined with early quantitative rehabilitation training.The preoperative and postoperative numerical rating scale(NRS)score,Harris hip score,bone turnover markers including procollagen type I carboxy-terminal peptide(PICP),osteocalcin(BGP),and bone alkaline phosphatase(BALP),and incidence of complications were compared between the two groups.Results The 3-and 6-month postoperative Harris hip scores of the two groups were higher than preoperative scores(all P<0.05);the 3-and 6-month postoperative Harris hip scores of the observation group were higher than those of the control group(all P<0.05).One and 3 months after operation,the NRS score of the two groups were lower than those before operation(P<0.05),and the NRS score of the observation group was lower than that of the control group(P<0.05).Three months after operation,the levels of BGP and PICP of the two groups were lower than those before operation,and the BALP levels were lower than those before operation(P<0.05);and the levels of BGP and PICP of the observation group were higher than those of the control group,and the BALP level was lower than that of the control group(P<0.05).The total incidence of complication of the observation group(4.76%,2/42)was lower than that of the control group(23.81%,10/42),P<0.05.Conclusions CPM combined with early quantitative rehabilitation training,in postoperative

关 键 词：股骨 股骨粗隆间骨折 持续被动活动锻炼仪 早期量化康复训练 

分 类 号：R687.3[医药卫生—骨科学]