摘要
目的探究老年股骨粗隆间骨折患者采用个体化康复功能锻炼联合股骨近端防旋髓内钉(PFNA)内固定治疗对髋关节功能恢复的影响.方法选取本院2019年5月—2020年6月收治的96例老年股骨粗隆间骨折患者为研究对象,按照随机数字表法分为对照组和观察组,每组48例.两组均采用PFNA内固定术治疗,对照组术后进行常规锻炼,观察组术后进行个体化康复功能锻炼,均持续6个月.比较两组的髋关节功能及并发症.结果锻炼前,两组的各项髋关节功能评分比较,差异无统计学意义(P>0.05);观察组锻炼后的疼痛、畸形、关节活动度、功能评分分别为(39.76±2.19)分、(3.08±0.53)分、(4.25±0.14)分、(40.93±3.87)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为4.17%,低于对照组的18.75%,差异有统计学意义(P<0.05).结论老年股骨粗隆间骨折患者采用个体化康复功能锻炼联合PFNA内固定治疗能够有效改善髋关节功能,降低并发症发生率.
Objective To explore the effect of individualized rehabilitation exercise combined with proximal femoral nail antirotation(PFNA)internal fixation on the functional recovery of hip joint in elderly patients with femoral intertrochanteric fracture.Methods 96 elderly patients with femoral intertrochanteric fracture treated in our hospital from May 2019 to June 2020 were were selected as the research objects,and were randomly divided into a control group and an observation group,with 48 cases in each group.Both groups were treated with PFNA internal fixation.After surgery,the control group was treated with routine exercise and the observation group was treated with individualized rehabilitation exercise.Both groups lasted for 6 months.The hip function and complications were compared between the two groups.Results Before exercise,there were no significant differences in hip function scores between the two groups(P>0.05);the scores of pain,deformity,joint mobility and function of the observation group after exercise were(39.76±2.19)points,(3.08±0.53)points,(4.25±0.14)points,(40.93±3.87)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.17%,lower than 18.75%in the control group,and the difference was statistically significant(P<0.05).Conclusion Individualized rehabilitation exercise combined with PFNA internal fixation can effectively improve hip function and reduce the incidence of complications in elderly patients with intertrochanteric fracture of femur.
作者
刘承权
LIU Chengquan(Department of Orthopedics,Yanzhou District People's Hospital,Jining Shandong,272100,China)
出处
《反射疗法与康复医学》
2021年第21期125-127,共3页
Reflexology And Rehabilitation Medicine
关键词
股骨粗隆间骨折
个体化康复功能锻炼
股骨近端防旋髓内钉
髋关节功能
并发症
Femoral intertrochanteric fracture
Individualized rehabilitation exercise
Proximal femoral nail antirotation
Hip function
Complication
