摘要
目的探讨股骨粗隆间骨折(IFF)患者采用个体化功能康复训练的效果。方法选取2023年2月至2024年2月福建省武夷山市立医院收治的IFF患者100例,以随机数字表法分成研究组(50例)和对照组(50例),对照组给予常规康复训练,研究组给予个体化功能康复训练。比较两组恢复情况、疼痛程度、髋关节肌力、髋关节功能、日常生活能力。结果研究组负重、骨折愈合、住院时间较对照组更短(P<0.05)。干预后,两组VAS评分下降,研究组较对照组更低(P<0.05)。干预3个月后,两组髋关节肌力较干预1个月后升高,研究组较对照组更高(P<0.05)。干预后,两组髋关节功能(Harris)评分均提高,研究组较对照组更高(P<0.05)。干预后,两组改良Barthel指数(MBI)升高,研究组较对照组更高(P<0.05)。结论个体化功能康复训练应用于IFF患者中,能够提高缩短患者恢复时间,降低其疼痛程度,改善髋关节肌力及功能,提高日常生活能力。
Objective To investigate the effect of individualized functional rehabilitation training on patients with intertrochanteric femur fracture(IFF).Methods A total of 100 IFF patients admitted to Mount Wuyi Municipal Hospital in Fujian Province from February 2023 to February 2024 were selected.They were randomly divided into the study group(50 cases)and the control group(50 cases).The control group was given routine rehabilitation training,and the study group was given individualized functional rehabilitation training.The recovery,pain degree,hip muscle strength,hip joint function,and ability of daily living of the two groups were compared.Results The study group had shorter load-bearing time,fracture healing time,and hospital stay compared to the control group(P<0.05).After intervention,both groups showed a decrease in VAS scores,with the study group having a lower score than the control group(P<0.05).After intervention,both groups had increased hip muscle strength three months after intervention compared to one month after intervention,with the study group having higher strength than the control group(P<0.05).After intervention,both groups showed an increase in Harris hip function scores after intervention,with the study group having higher scores than the control group(P<0.05).After intervention,both groups had increased Modified Barthel Index(MBI)scores after intervention,with the study group having higher scores than the control group(P<0.05).Conclusions Individualized functional rehabilitation training applied to patients with IFF can improve and shorten their recovery time,reduce their pain level,improve hip joint muscle strength and function,and enhance their daily living abilities.
作者
卢苏闽
LU Sumin(Department of Rehabilitation,Mount Wuyi Municipal Hospital 354300,Fujian)
出处
《中国医药指南》
2024年第35期81-84,共4页
Guide of China Medicine
关键词
股骨粗隆间骨折
个体化功能康复训练
股骨
髋关节功能
Intertrochanteric fracture of femur
Individualized functional rehabilitation training
Femur
Hip joint function
