摘要
目的探讨早期量化功能锻炼对髋关节骨折术后患者功能恢复及日常生活活动能力的影响.方法选取2020年3月-2021年3月我院收治的60例髋关节骨折术后患者,以随机数字表法分为观察组及对照组,各30例.对照组行常规护理,观察组在对照组基础上行早期量化功能锻炼.对比两组的临床疗效.结果干预前,两组的各维度Harris髋关节功能评分、日常生活能力评分、健康调查简表评分比较,组间差异无统计学意义(P>0.05);干预后,观察组的上述评分均较对照组高,组间差异有统计学意义(P<0.05).干预前,两组的全血高切黏度、全血中切黏度、全血低切黏度、血浆黏度水平比较,组间差异无统计学意义(P>0.05);干预后,观察组的各项血液流变学指标水平均较对照组低,组间差异有统计学意义(P<0.05).观察组的术后并发症发生率为3.33%,较对照组20.00%低,差异有统计学意义(P<0.05).结论早期量化功能锻炼可改善髋关节术后患者的髋关节功能,提高其日常生活活动能力及生活质量,改善血液流变学水平,减少术后并发症发生,值得应用.
Objective To investigate the effect of early quantitative functional exercise on functional recovery and activities of daily living in patients with hip fractures.Methods A total of 60 patients with postoperative hip fracture who were treated in our hospital from Mareh 2020 to March 2021 were selected and divided into an observation group and a control group by random number table method,30 cases in each group.The control group received routine nursing,and the observation group received early quantitative functional exereise on the basis of the control group.The clinical efficacy of the two groups was compared.Results Before the intervention,the Harris hip score,activity of daily living score and the MOS item short from health survey-36 score of the two groups were compared,and there were no significant differences between the two groups(P>0.05);after intervention,the above scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Before the intervention,there were no significant differences in the levels of whole blood high shear viscosity,whole blood middle shear viscosity,whole blood low shear viscosity and plasma viscosity between the two groups(P>0.05);after intervention,the levels of hemorheology indexes in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 3.33%,which was lower than that in the control group of 20.00%,and the difference was statistically significant(P<0.05).Conclusion Early quantitative functional exercise can improve the hip function of patients after hip surgery,improve their activities of daily living and quality of life,improve the level of blood rheology,and reduce postoperative complications,which is worthy of application.
作者
仲小妹
陈丽
ZHONG Xiaomei;CHEN Li(Department of Orthopedics,Affiliated Hospital of Nantong University,Nantong Jiangsu,226001,China)
出处
《反射疗法与康复医学》
2022年第1期102-105,共4页
Reflexology And Rehabilitation Medicine
关键词
早期量化功能锻炼
髋关节骨折术
功能恢复
日常生活活动能力
Early quantitative functional exercise
Hip fracture surgery
Functional recovery
Activities of daily living
