运动康复一体化干预在股骨转子骨折髓内钉内固定术中的应用效果  

Analysis of the Effectiveness of Clinical Application of Integrated Fracture Treatment and Exercise Rehabilitation in Patients with Intertrochanteric Fractures of the Femur

作　　者：仲磊[1] ZHONG Lei(Department of Orthopedics,Shuyang County Traditional Chinese Medicine Hospital,Suqian City,Jiangsu Province,Suqian 223600,China)

机构地区：[1]江苏省宿迁市沭阳县中医院骨科,宿迁223600

出　　处：《中国医药指南》2024年第31期116-119,共4页Guide of China Medicine

摘　　要：目的在临床中实施运动康复一体化干预,明确其对股骨转子骨折髓内钉内固定术患者的影响。方法以2023年月1至2023年12月于院内接受诊疗的股骨粗隆间骨折患者为分析对象,共计71例,采取随机数字表法分为对照组(34例)、观察组(37例),两组均接受骨折手术治疗,对照组进行常规护理干预,观察组进行运动康复一体化干预,对干预情况进行分析。结果并发症方面,两组相比,观察组总值更低(P<0.05);治疗后,两组运动功能、感觉功能、平衡功能、关节活动度、关节疼痛都升高且观察组更高(P<0.05);独立生活能力、髋关节功能、疼痛情况方面,两组相比,治疗后观察组各项值更佳(P<0.05);治疗后,两组生理功能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康评分均高于治疗前且观察组更高(P<0.05)。观察组骨折恢复优良率高于对照组(P<0.05)。结论实施运动康复一体化干预,有利于改善股骨转子间骨折患者术后肢体运动功能、独立生活能力、髋关节功能,降低并发症发生率,减轻疼痛感,提高生活质量与骨折恢复优良率。Objective To implement integrated intervention of exercise rehabilitation in clinical practice and clarify its impact on patients undergoing intramedullary nail fixation for femoral trochanter fractures.Methods A total of 71 patients with intertrochanteric fractures of the femur who received diagnosis and treatment in the hospital from January 2023 to December 2023 were selected as the analysis objects.They were randomly divided into a control group(34 cases)and an observation group(37 cases)using a random number table method.Both groups received fracture surgery treatment.The control group received routine nursing intervention,while the observation group received integrated exercise rehabilitation intervention.The intervention situation was analyzed.Results In terms of complications,the total value of the observation group was lower than that of the two groups(P<0.05).After treatment,motor function,sensory function,balance function,joint range of motion and joint pain were all increased in both groups and higher in observation group(P<0.05).Independent living ability,hip function and pain were better in observation group after treatment(P<0.05).After treatment,Physiological function,physiological function,physical pain,general health status,energy,social function,emotional function and mental health scores of both groups were higher,and the observation group was higher(P<0.05).The rate of fracture recovery in the observation group was higher than that in the control group(P<0.05).Conclusions Implementing integrated intervention of exercise and rehabilitation is beneficial for improving postoperative limb movement function,independent living ability,hip joint function,reducing the incidence of complications,alleviating pain,and improving the quality of life and fracture recovery rate of patients with intertrochanteric fractures.

关 键 词：股骨粗隆间骨折 骨折治疗 运动康复一体化干预 

分 类 号：R683.42[医药卫生—骨科学]