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个体化渐进式康复训练在股骨粗隆间骨折术后患者中的应用效果观察 被引量:4

Observation on the Effect of Individualized Progressive Rehabilitation Training in Patients with Intertrochanteric Fracture of Femur
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摘要 目的分析个体化渐进式康复训练应用于股骨粗隆间骨折术后患者中的效果.方法选取2018年3月—2020年7月平原县第一人民医院骨科收治的100例股骨粗隆间骨折手术患者为研究对象,随机将其分为两组,每组50例.对照组进行常规康复训练,观察组则进行个体化渐进式康复训练.比较两组患者的康复效果、疼痛评分、髋关节功能评分及运动功能评分,并于随访半年后观察两组患者的不良结局发生情况.结果观察组的康复优良率为90.0%,高于对照组的74.0%,差异有统计学意义(P<0.05).观察组干预后的疼痛评分低于对照组,髋关节功能评分及运动功能评分均高于对照组,组间差异有统计学意义(P<0.05).观察组的不良结局发生率为2.0%,明显低于对照组的10.0%,差异有统计学意义(P<0.05).结论个体化渐进式康复训练能够提高股骨粗隆间骨折患者的术后康复效果,缓解疼痛,提高其髋关节功能和运动能力,减少不良结局的发生,值得推广使用. Objective To analyze the effect of individualized progressive rehabilitation training in patients with intertrochanteric fracture of femur.Methods A total of 100 patients with intertrochanteric fracture of femur treated in The Department of Orthopedics of The First People's Hospital of Pingyuan County from March 2018 to July 2020 were selected as the research objects,and they were randomly divided into two groups,with 50 patients in each group.The control group received routine rehabilitation training,and the observation group received individualized progressive rehabilitation training.The rehabilitation effect,pain score,hip function score and motor function score of the two groups were compared,and the occurrence of adverse outcomes of the two groups were observed after 6 months of follow-up.Results The excellent and good rate of the observation group was 90.0%,which was higher than 74.0%of the control group,and the difference was statistically significant(P<0.05).After intervention,the pain score of the observation group was lower than that of the control group,and the hip function score and motor function score were higher than those of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of adverse outcomes in the observation group was 2.0%,significantly lower than 10.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion Individualized progressive rehabilitation training can improve the postoperative rehabilitation effect of patients with intertrochanteric fracture of femur,relieve pain,improve the hip joint function and motor ability,and reduce the occurrence of adverse outcomes,which is worthy of popularization.
作者 谭玉春 陈雁 TAN Yuchun;CHEN Yan(Department of Orthopedics,First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)
出处 《反射疗法与康复医学》 2021年第16期108-110,共3页 Reflexology And Rehabilitation Medicine
关键词 个体化渐进式康复训练 股骨粗隆间骨折 康复治疗 Individualized progressive rehabilitation training Intertrochanteric fracture of femur Rehabilitation treatment
作者简介 谭玉春(1983-),男,山东德州人,本科,主治医师,研究方向:骨科疾病诊疗;通讯作者:陈雁(1981-),女,山东德州人,本科,主管护师,研究方向:外科创面修复等,邮箱:272103218@qq.com。
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