渐进性抗阻运动训练在老年股骨粗隆间骨折内固定术后的应用效果  

Application of progressive resistance exercise after internal fixation of intertrochanteric fractures in elderly patients

作　　者：段暖 袁冬 尹夏 齐静 孟月婷 李倩[1] 孟东方[1] Duan Nuan;Yuan Dong;Yin Xia;Qi Jing;Meng Yueting;Li Qian;Meng Dongfang(Department of Orthopaedics,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院骨伤科一区,郑州450000

出　　处：《中国实用医刊》2023年第22期77-80,共4页Chinese Journal of Practical Medicine

基　　金：2022年河南省卫生健康委国家中医临床研究基地科研专项(2022JDZX123)。

摘　　要：目的分析渐进性抗阻运动训练(PRE)在老年股骨粗隆间骨折(ITF)内固定术后的应用效果。方法本研究为随机对照研究,抽取2020年6月至2022年5月于河南中医药大学第一附属医院行内固定术治疗的96例老年ITF患者作为研究对象,按照随机数字表法分为对照组和研究组,每组48例。对照组采用常规术后康复训练,研究组采用PRE。比较两组术后恢复情况、Harris髋关节功能评分量表(HHS)评分、髋关节肌力及并发症发生率。结果研究组下床活动时间、住院时间、骨折愈合时间均短于对照组(P均<0.05)。干预后2个月,研究组疼痛、功能、畸形、活动度评分高于对照组(P<0.05),屈曲肌群肌力、伸直肌群肌力大于对照组(P<0.05)。研究组并发症发生率(6.25%,3/48)低于对照组(22.92%,11/48),P<0.05。结论老年ITF患者内固定术后采用PRE效果显著,能明显缩短下床活动、住院及骨折愈合时间,降低术后并发症发生率,改善患者髋关节功能和髋关节肌力。Objective To analyze the application of progressive resistance exercise(PRE)after internal fixation of intertrochanteric fractures(ITF)in elderly patients.Methods This study was a randomized controlled study.A total of 96 elderly patients with ITF treated by internal fixation in the First Affiliated Hospital of Henan University of Chinese Medicine from June 2020 to May 2022 were selected as research subjects,and they were divided into control group and study group according to random number table method,with 48 cases in each group.The control group was treated by conventional postoperative rehabilitation training,and the study group was treated by PRE.The postoperative recovery,Harris hip joint function score(HHS),hip muscle strength and incidence of complication of the two groups were compared.Results Compared with the control group,the study group had shorter off-bed activity time,hospital stay and fracture healing time(all P<0.05).After 2 months of intervention,the scores of pain,function,deformity,and activity in the study group were higher than those in the control group(P<0.05);the study group showed greater muscle strength in the flexor and extensor muscle groups,compared with the control group(P<0.05).The incidence of complications in the study group was 6.25%(3/48),lower than the 22.92%(11/48)in the control group(P<0.05).Conclusions The use of PRE after internal fixation in elderly ITF patients has a significant effect,which can significantly shorten the off-bed activity time,hospital stay,and fracture healing time,reduce the incidence of postoperative complications,improve hip joint function and hip muscle strength.

关 键 词：股骨粗隆间骨折 内固定术 渐进性抗阻运动训练 髋关节肌力 

分 类 号：R687.3[医药卫生—骨科学]