中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (48): 9082-9085.doi: 10.3969/j.issn.1673-8225.2010.48.036

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

个性化康复运动处方对髋部骨折后髋关节功能恢复的影响

戴  闽，艾江波，范红先，张  斌，帅  浪   

  1. 南昌大学第一附属医院，江西省南昌市  330006
  • 出版日期:2010-11-26 发布日期:2010-11-26
  • 作者简介:戴闽★，男，1963年生，江西省安义县人，汉族，上海交通大学毕业，硕士，主任医师，主要从事骨科研究。 daimin@medmail.com
  • 基金资助:

    江西省卫生厅重大招标项目(20074005)。

Influence of individualized rehabilitation prescription on the hip functional recovery following fracture

Dai Min, Ai Jiang-bo, Fan Hong-xian, Zhang Bin, Shuai Lang   

  1. First Affiliated Hospital of Nanchang University, Nanchang  330006, Jiangxi Province, China
  • Online:2010-11-26 Published:2010-11-26
  • About author:Dai Min★, Master, Chief physician, First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China daimin@medmail.com
  • Supported by:

     the Major Invitation Program of Jiangxi Provincial Health Department, No. 20074005*

PDF

509

被引次数

36

摘要：

背景：有研究表明22%~75%的髋部骨折患者术后6个月无法恢复到受伤以前的功能，所以非常需要正确的康复治疗来恢复患者的髋部功能。目前，关于其手术操作方面已有较多的报道，但涉及此类患者在围术期间的康复指导及功能训练尚缺少系统、完整的研究。
目的：观察髋部骨折切开复位内固定后通过《骨折患者早期运动康复安全性评定量表》制定个性化康复运动处方对髋关节功能的影响。
方法：纳入采用切开复位内固定方法治疗老年髋部骨折患者90例，根据内固定后有无个性化康复治疗分为2组，康复组46例术后根据骨科运动康复安全评定表制定个性化康复运动处方进行功能锻炼，对照组44例术后常规功能锻炼治疗。内固定后3，6个月随访，比较两组患者的身体性能测试、身体功能状态调查表评分。
结果与结论：两组患者术前一般情况差异均无显著性意义(P > 0.05)，两组具有可比性。内固定后6个月随访，康复组患者身体性能测试与身体功能状态调查表总分显著高于对照组(P < 0.05)；身体性能测试总分从内固定前到内固定后6个月康复组增幅明显高于对照组，身体功能状态调查表总分从内固定前到内固定后6个月亦有较高增幅。提示切开复位内固定方法治疗老年髋部骨折能获得可靠的固定，系统的康复训练是保证疗效的重要措施，有助于加快患者内固定后髋关节功能恢复，提高生活质量。

关键词: 髋部骨折, 内固定, 髋关节功能, 运动处方, 功能锻炼

Abstract:

BACKGROUND: 22%-75% of patients with hip fracture cannot obtain function before injury at 6 months following treatment. Operations for fracture have been reported, but rehabilitation guidance and functional training for patients are few.
OBJECTIVE: To investigate the effect of individualized rehabilitation and exercise prescription developed according to "Orthopedic Sports Rehabilitation Safety Assessment Scale" on hip function in patients following open reduction and internal fixation.
METHODS: A total of 90 elderly patients with proximal femoral fractures were treated with open reduction and internal fixation. Rehabilitation manner was divided into two groups: rehabilitation group (n=46), postoperative exercise prescription developed according to Orthopedic Sports Rehabilitation Safety Assessment; control group (n=44), conventional rehabilitation. The two groups were followed up 3 and 6 months following internal fixation, and the scores of Performance evaluation test for the body (PPT) and functional status questionnaire (FSQ) were compared between the groups.
RESULTS AND CONCLUSION: General condition of two groups was not significantly different (P > 0.05), so two groups were comparable. Rehabilitation group exhibited greater PPT and FSQ total scores after 6 month compared with the control group (P < 0.05). The increase rate of preoperative PPT score and FSQ score to 6 months after the internal fixation in rehabilitation group was significantly greater compared with the control group. Open reduction and internal fixation can obtain reliable fixation for elderly hip fracture. Systematic rehabilitation is an important measure to ensure the efficacy, help accelerate postoperative functional rehabilitation of patients, and improve the quality of life.

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