股四头肌功能锻炼对髋部骨折术后功能恢复的影响研究  

Effect of functional exercise of quadriceps femoris on functional recovery after hip fracture surgery

作　　者：吴翔鹏 江小伟 郭飞 Wu Xiangpeng;Jiang Xiaowei;Guo Fei(The People’s Hospital of Ningdu County,Ningedu,Jiangri 342800)

机构地区：[1]宁都县人民医院,江西宁都342800

出　　处：《基层医学论坛》2023年第14期7-10,共4页The Medical Forum

基　　金：赣州市指导性科技计划项目(GZ2021ZSF770)。

摘　　要：目的分析股四头肌功能锻炼对髋部骨折术后功能恢复的影响。方法选取宁都县人民医院收治的62例髋部骨折患者展开分析,根据干预方法的不同分为观察组和对照组,每组31例。2组患者均采取一般术后功能锻炼,观察组在此基础上予股四头肌功能锻炼,对比分析2组的应用效果。结果2组术前VAS评分、Harris评分无显著差异(P>0.05);出院时、出院4周后和12周后观察组VAS评分低于对照组,Harris评分高于对照组,差异均有统计学意义(P<0.05)。观察组的SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05)。出院时,观察组Barther指数评分高于对照组,差异有统计学意义(P<0.05)。结论对髋部骨折术后患者在一般术后功能锻炼的基础上予以股四头肌功能锻炼对功能恢复有良好的促进作用,在减轻患者疼痛感的同时,髋关节功能、生活质量以及日常活动能力均明显提高,值得推广。Objective To study and analyze the effect of functional exercise of quadriceps femoris on functional recovery after hip fracture surgery.MethodsThe patients with hip fracture who were treated in our hospital were selected for analysis.The included study volume was 62 cases.The admission time was from October 2020 to December 2021.The patients participating in the study were divided into two groups according to diferent research methods,namely,the observation group and the control group.The sample size of a single group was 31 cases.Both groups of patients took general postoperative functional exercise,while the observation group took quadriceps femoris functional exercise on this basis,and the application effects of the two groups were compared and analyzed.Results From the analysis of VAS score and Harris score,there was no significant difference between the observation group and the control group on the first day after operation(P>0.05),but at the time of discharge,after4 weeks and 12 weeks after discharge,the VAS score was higher in the control group,while Harris was higher in the observation group,and the difference was statistically significant(P<0.05);The scores of each dimension of SF-36 in the observation group were higherthan those in the control group,and the difference was statistically significant(P<0.05);The Barthel index score on the first day after operation was compared between the two groups,and the difference was small(P>0.05),while at discharge,the score was higherin the observation group,and the difference was statistically significant(P<0.05).ConclusionIn the rehabilitation training of patients with hip fracture after operation,on the basis of general postoperative functional exercise,functional exercise of quadriceps femoris can promote the functional recovery of patients.While reducing the pain of patients,hip function,quality oflife and daily activity ability are significantly improved,which is worthy of promotion.

关 键 词：髋部骨折 康复锻炼 股四头肌功能锻炼 功能恢复 

分 类 号：R683.42[医药卫生—骨科学]