摘要
目的探究防旋股骨近端髓内钉(proximal femoral nail anti-rotation,PFNA)内固定联合个体化康复训练治疗老年股骨粗隆间骨折患者的临床疗效.方法选取该院2017年5月—2020年6月收治的52例老年股骨粗隆间骨折患者,按照随机数字表法分为对照组和观察组,每组26例.两组均行PFNA内固定术治疗,对照组术后采用常规康复训练,观察组术后采用个体化康复训练.比较两组干预前后髋关节功能及生活能力、骨折愈合时间、并发症发生情况.结果干预前,两组各项髋关节功能评分、Barthel指数(Barthel index,BI)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组疼痛、功能、畸形及关节活动度评分分别为(35.48±2.94)分、(38.52±2.93)分、(3.09±0.28)分、(3.97±0.65)分,均高于对照组的(21.14±1.19)分、(26.65±2.39)分、(2.11±0.42)分、(2.59±0.84)分,BI评分(78.59±3.54)分高于对照组的(65.42±2.61)分,骨折愈合时间(92.81±9.17)d短于对照组的(126.58±10.19)d,组间差异有统计学意义(P<0.05).观察组并发症发生率为7.69%,低于对照组的30.77%,差异有统计学意义(P<0.05).结论PFNA内固定联合个体化康复训练治疗老年股骨粗隆间骨折患者的疗效显著,能够有效改善患者的髋关节功能,缩短骨折愈合时间,提高生活能力,降低并发症发生率.
Objective To explore the clinical efficacy of proximal femoral nail anti-rotation(PFNA)internal fixation combined with individualized rehabilitation training in the treatment of elderly patients with femoral intertrochanteric fractures.Methods The 52 elderly patients with femoral intertrochanteric fractures admitted to the hospital from May 2017 to June 2020 were selected and divided into a control group and an observation group according to a random number table,with 26 cases in each group.Both groups were treated with PFNA internal fixation,the control group received conventional rehabilitation training after surgery,and the observation group received individualized rehabilitation training after surgery.The hip joint function and living ability before and after intervention,fracture healing time,and complications were compared between the two groups.Results Before the intervention,there was no statistically significant difference between the two groups of hip joint function scores and Barthel index(BI)scores(P>0.05);after the intervention,the pain,function,deformity,and joint mobility scores of the observation group were(35.48±2.94)points,(38.52±2.93)points,(3.09±0.28)points,and(3.97±0.65)points,respectively,which were higher than(21.14±1.19)points,(26.65±2.39)points,(2.11±0.42)points,(2.59±0.84)points of the control group,the BI score was(78.59±3.54)points,which was higher than(65.42±2.61)points of the control group,and the fracture healing time was(92.81±9.17)d,which was shorter than(126.58±10.19)d of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 7.69%,which was lower than 30.77%in the control group,and the difference was statistically significant(P<0.05).Conclusion PFNA internal fixation combined with individualized rehabilitation training has a significant effect on the treatment of elderly patients with femoral intertrochanteric fractures,which can effectively improve the hip joint function of the patients,shorten the fracture healing time,improve living ability,and reduce the incidence of complications.
作者
李庚
LI Geng(Department of Orthopaedic and Trauma Surgery,Kunming Space Hospital,Kunming Yunnan,650229,China)
出处
《反射疗法与康复医学》
2021年第11期74-76,98,共4页
Reflexology And Rehabilitation Medicine
关键词
股骨粗隆间骨折
防旋股骨近端髓内钉内固定
个体化康复训练
髋关节功能
生活能力
Femoral interfacial fracture
Proximal femoral nail anti-rotation
Individualized rehabilitation training
Hip function
Living ability
作者简介
李庚(1982-),男,贵州六盘水人,本科,主治医师,研究方向:创伤骨科临床。
