摘要
目的探讨早期康复干预对股骨远端严重粉碎性骨折患者术后膝关节功能的近期、远期疗效。方法选取60例股骨远端严重粉碎性骨折患者，将其随机分为康复组（30例）与对照组（30例），2组患者均通过手术给予双钢板固定处理，康复组患者术后早期介入系统、规范、全程康复治疗，对照组患者则让其术后自行遵医嘱进行功能训练。采用膝关节Kolmert评分对患者疗效进行评定。结果60例患者分别于术后3个月、6个月及1年时随访，发现康复组患者膝关节活动度、膝关节功能优良率均明显优于对照组，差异具有统计学意义（P〈0．05）。结论对股骨远端粉碎性骨折患者采用双钢板固定并早期介入康复治疗，可显著促进患者膝关节运动功能恢复．进一步提高术后疗效。
Objective To investigate the effects of early rehabilitation training （ERT） on comminuted serious fracture of distal femur （CSFDF） after operation. Methods Sixty patients with CSFDF were divided into a rehabilitation group and a control group. All the patients were treated with double-plating fixation （ DPF）. And the patients in the rehabilitation group were also treated with ECR as an addition. Then the therapeutic effects were assessed with the Kolmert score. Results The therapeutic effects of the rehabilitation training group was much better than those of the control group （ P 〈 0.001 ）. Conclusion The therapeutic effects of ERT for CSFDF patients after DPF are stable.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2007年第1期45-48,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
股骨骨折
骨折固定术
康复训练
钢板
Femoral fracture
Plate fixation
Rehabilitation training
作者简介
通讯作者：张英泽，Email：drlianxinsong@yahoo．com．cn
