摘要
目的探析股骨颈骨折采取阶段性康复功能训练的临床效果及术后对患者视觉模拟评分法(VAS)评分的影响。方法66例股骨颈骨折手术患者,按奇偶法分为对照组和研究组,每组33例。对照组于研究中行常规康复训练指导,研究组在对照组基础上采取阶段性康复功能训练。比较两组患者术后不同时段VAS评分;干预前后的日常生活活动能力评定量表(ADL)、髋关节功能评分标准(Harris)评分;并发症发生情况。结果研究组患者术后1、3、7 d的VAS评分分别为(3.40±0.61)、(2.16±0.31)、(2.01±0.24)分,均低于对照组的(5.11±0.68)、(3.65±0.57)、(3.40±0.56)分,差异均具有统计学意义(P<0.05)。干预后,研究组患者ADL、Harris评分均高于对照组,差异均具有统计学意义(P<0.05)。研究组发生便秘1例、肺部感染0例、褥疮0例,并发症发生率为3.03%(1/33);对照组发生便秘2例、肺部感染2例、褥疮3例,并发症发生率为21.21%(7/33)。研究组并发症发生率低于对照组,差异具有统计学意义(χ^(2)=5.121,P=0.024<0.05)。结论股骨颈骨折采取阶段性康复功能训练效果理想,可改善髋关节功能,促进日常生活能力提高,亦可减少并发症发生,值得临床推广。
Objective To discuss and analyze the clinical effect of staged rehabilitation function training in patients after femoral neck fracture operation and analysis of the effect of visual analogue scale(VAS)score.Methods A total of 66 patients undergoing femoral neck fracture operation were divided into control group and research group according to odd-even number method,with 33 cases in each group.The control group received conventional rehabilitation training guidance,and the research group received staged rehabilitation function training based on the control group.The VAS scores at different times after the operation,activities of daily living(ADL)and Harris scores before and after intervention,and occurrence of complications were compared between the two groups.Results After 1,3 and 7 d of operation,the VAS score of the research group were(3.40±0.61),(2.16±0.31)and(2.01±0.24)points,which were lower than(5.11±0.68),(3.65±0.57)and(3.40±0.56)points of the control group,and the difference was statistically significant(P<0.05).After intervention,the ADL and Harris score of the research group were higher than those of the control group,and the difference was statistically significant(P<0.05).The research group had 1 case of constipation,0 cases of lung infection,0 case of bedsores,and the complication rate was 3.03%(1/33);the control group had 2 cases of constipation,2 cases of lung infection,and 3 cases of bedsores,and the complication rate was 21.21%(7/33).The incidence of complications of the research group was lower than that of the control group,and the difference was statistically significant(χ^(2)=5.121,P=0.024<0.05).Conclusion Staged rehabilitation function training shows ideal effect on patients with femoral neck fracture,which can improve the activities of daily living and reduce the occurrence of complications.It is worthy of clinical promotion.
作者
李志宏
冯亚楠
LI Zhi-hong;FENG Ya-nan(Liaocheng Hospital of Traditional Chinese Medicine,Liaocheng 252000,China)
出处
《中国现代药物应用》
2021年第9期235-237,共3页
Chinese Journal of Modern Drug Application
关键词
股骨颈骨折
阶段性康复功能训练
疼痛评分
效果
Femoral neck fracture
Staged rehabilitation function training
Pain score
Effect
