摘要
目的评价骨折治疗与运动康复一体化对股骨粗隆间骨折术后疗效的影响,分析康复治疗的必要性、有效性。方法整群选取2013年3月—2016年3月重庆市沙坪坝区人民医院骨外科采用内固定术治疗股骨粗隆间骨折患者84例,采用随机数字表达法分组,对照组、观察组各42例;对照组采用内固定治疗+常规康复训练,观察组由骨科医师、康复医师、护士进行基于内固定与运动康复一体化的治疗;记录患者末次随访Harris评分、并发症发生率。结果观察组末次随访Harris评分(92.5±5.6)分高于对照组(80.5±10.4)分,观察组并发症发生率38.1%低于对照组90.5%,差异有统计学意义(P<0.05)。结论骨折治疗与运动康复一体化有助于股骨粗隆间骨折术后功能恢复,同时降低并发症发生风险。
Objective To evaluate the effect on integration of fracture treatment and sports restoration on the curative effect after the emoral intertrochanteric fractures operation and analyze the necessity and effectiveness of rehabilitation treatment.Methods 84 cases of patients with emoral intertrochanteric fractures adopting internal fixation in the department of bone surgery in our hospital from March 2013 to March 2016 were group selected and randomly divided into two groups with 42 cases in each, the control group adopted the internal fixation treatment and routine rehabilitation training, while the observation group adopted the integration treatment of internal fixation and sports restoration by the physicists, rehabilitation physicists and nurses, and the last follow-up Harris score and incidence rate of complications of patients were recorded.Results The last follow-up Harris score in the observation group was higher than that in the control group[（92.5±5.6）points vs（80.5±10.4）points], and the incidence rate of complications in the observation group was lower than that in the control group,（38.1% vs 90.5%）, and the difference had statistical significance（P〈0.05）. Conclusion The integration of fracture treatment and sports restoration contributes to the postoperative function recovery of emoral intertrochanteric fractures operation and reduce the occurrence risks of complications.
出处
《中外医疗》
2017年第5期68-69,72,共3页
China & Foreign Medical Treatment
关键词
股骨粗隆间骨折
运动康复功能
影响
Emoral intertrochanteric fractures
Sports restoration function
Influence
