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作 者:李建华 LI Jianhua(Jian’ou Municipal Hospital,Jian’ou 353100,China)
机构地区:[1]建瓯市立医院,福建建瓯353100
出 处:《中外医学研究》2024年第26期50-54,共5页CHINESE AND FOREIGN MEDICAL RESEARCH
摘 要:目的:探究手法整复夹板固定与阶梯性康复训练联合治疗老年桡骨远端骨折的临床效果。方法:选择2020年1月—2023年8月建瓯市立医院收治的131例老年桡骨远端骨折患者作为研究对象,根据随机数表法将其分为对照组(n=65)与研究组(n=66)。两组均进行手法整复夹板固定治疗,对照组给予常规康复训练,研究组给予阶梯性康复训练。比较两组治疗效果、康复时间、疼痛程度、腕关节功能及生活质量。结果:研究组治疗总有效率为96.97%,高于对照组的87.69%,差异有统计学意义(χ^(2)=3.998,P=0.046)。研究组肿胀消除时间、骨折愈合时间、住院时间较对照组短,差异有统计学意义(P<0.05)。治疗后,两组视觉模拟评分法(visual analogue scale,VAS)评分较治疗前降低,且研究组低于对照组,两组疼痛、握力、功能、背伸/掌屈活动度、生理、躯体、情感、社会评分较治疗前提高,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:老年桡骨远端骨折患者进行手法整复夹板固定治疗后,开展阶梯性康复训练有助于骨折愈合,临床效果显著。Objective:To explore the clinical effect of manipulative reduction and splint fixation combined with stepped rehabilitation training in the treatment of distal radius fracture in elderly.Method:A total of 131 elderly patients with distal radius fracture who admitted to Jian’ou Municipal Hospital from January 2020 to August 2023 were selected as the research objects,they were divided into the control group(n=65)and the study group(n=66)according to the random number table method.Two groups were treated with manipulative reduction and splint fixation,the control group was given routine rehabilitation training,and the study group was given stepped rehabilitation training.The treatment effect,rehabilitation time,pain degree,wrist function and quality of life were compared between two groups.Result:The total effective rate of treatment in the study group was 96.97%,which was higher than 87.69%in the control group,and the difference was statistically significant(χ^(2)=3.998,P=0.046).The swelling elimination time,fracture healing time and hospitalization time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of visual analogue scale(VAS)in two groups were lower than those before treatment,and those in the study group were lower than the control group,the scores of pain,grip strength,function,dorsiflexion/palmar flexion activity,physiology,body,emotion and society in two groups were higher than those before treatment,and those in the study group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:After manipulative reduction and splint fixation for elderly patients with distal radius fracture,stepped rehabilitation training is helpful for fracture healing,and the clinical effect is remarkable.
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