磁场治疗仪联合针刺运动疗法对髋部骨折患者术后髋关节功能及生命质量的影响  

Effects of magnetic-field therapeutic apparatus combined with acupuncture exercise therapy on postoperative hip function and quality of life in patients with hip fracture

作　　者：王萍 杨珊 庄健 WANG Ping;YANG Shan;ZHUANG Jian(Department of Rehabilitation,Shangrao People's Hospital,Shangrao,Jiangxi,334000,China)

机构地区：[1]上饶市人民医院康复科,江西上饶334000

出　　处：《当代医学》2024年第25期79-83,共5页Contemporary Medicine

摘　　要：目的探讨磁场治疗仪联合针刺运动疗法对髋部骨折患者术后髋关节功能及生命质量的影响。方法选取2019年2月至2022年9月上饶市人民医院收治的64例髋部骨折患者作为研究对象,采用简单随机分组法分为对照组与观察组,每组32例。对照组给予常规治疗方式治疗,观察组在对照组基础上给予磁场治疗仪联合针刺运动疗法治疗。比较两组术后临床肿胀消退情况、治疗前后血栓前状态指标[血管性假性血友病因子(von Willebrand factor,vWF)、D-二聚体(D-dimer,D-D)、纤维蛋白原(fibrinogen,Fg)]、术后功能恢复情况(膝关节主动活动角度、主动直腿抬高时间、主动屈膝达90°时间)、治疗前后Harris髋关节功能量表(Harris hip scale,HHS)、视觉模拟评分法(visual analog scale,VAS)评分、Barthel指数(Barthel index,BI)、日常生活活动能力[日常生活活动能力量表(activity of daily living scale,ADL)、躯体生活自理量表(physical self-maintenance scale,PSMS)、工具性日常生活活动能力量表(instrumental activities of daily living scale,IADL)]。结果观察组消肿总有效率为93.75%,高于对照组的75.00%,差异有统计学意义(P<0.05)。治疗后,两组vWF、D-D、Fg水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。术后,观察组关节主动活动角度大于对照组,主动直腿抬高时间、主动屈膝达90°时间均短于对照组,差异有统计学意义(P<0.05)。治疗后,两组HHS、BI评分均高于治疗前,VAS评分均低于治疗前,且观察组HHS、BI评分均高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗后,两组PSMS、IADL、ADL评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论磁场治疗仪联合针刺运动疗法治疗髋部骨折患者疗效显著,可以快速消肿,预防血栓,缩短康复时间,促进术后功能恢复,值得临床推广应用。Objective To explore the effects of magnetic-field therapeutic apparatus combined with acupuncture exercise therapy on postopera-tive hip function and quality of life in patients with hip fracture.Methods A total of 64 patients with hip fracture admitted to Shangrao People's Hos-pital from February 2019 and September 2022 were enrolled as the research subjects,and they were divided into the control group and the observa-tion group according to simple random grouping method,with 32 cases in each group.The control group was given conventional treatment,and the observation group was given magnetic-field therapeutic apparatus combined with acupuncture exercise therapy on the basis of the control group.The clinical swelling regression after surgery,pre-thrombotic state indexes(von Willebrand factor[vWF],D-dimer[D-D],fibrinogen[Fg])before and af-ter treatment,postoperative functional recovery(angle of active knee motion,active straight leg raising time,active 90°knee bending time),scores of Harris hip scale(HHS),visual analog scale(VAS),Barthel index(BI)and activities of daily living(activity of daily living scale[ADL],physical self maintenance scale[PSMS],instrumental activities of daily living scale[IADL])before and after treatment were compared between the two groups.Results The total response rate of swelling regression in the observation group was 93.75%,whch was higher than 75.00%in the control group,the difference was statistically significant(P<0.05).After treatment,the levels of vWF,D-D and Fg of the two groups were lower than those before treatment,and the observation group was lower than those in the control group,the differences were statistically significant(P<0.05).After surgery,the angle of active knee motion in the observation group was greater than that in the control group,active straight leg raising time and active 90°knee bending time were shorter than those in the control group,the differences were statistically significant(P<0.05).After treatment,scores of HHS and BI of the two groups were highe

关 键 词：磁场治疗仪 针刺运动疗法 髋骨骨折 术后康复 

分 类 号：R68[医药卫生—骨科学]